Please fill out the form below to request a training. Please enable JavaScript in your browser to complete this form.Name *FirstLastOrganization or Group Name *Email *Phone Number *Desired Date and TimeWhat town are you from?How many people are attending?Virtual or In-person?Virtual (TEAMS or Zoom)In-person at New Haven Health Department – 54 Meadow St, New Haven, 06519In-person at Quinnipiack Valley Health District – 1151 Hartford Tpke, North Haven 06473Other public location: Please provide address belowAddress of other public locationPlease choose which topics to cover as part of your training:Preventing, Identifying & Responding to an Opioid Overdose (Naloxone Administration)Substance Use TrendsQuestion, Persuade, Refer, Suicide Prevention Training (60 minutes minimum)Overdose Risk FactorsMedication for Opioid Use Disorder Options & AccessHarm Reduction PrinciplesYouth Focused Crisis OverviewXylazine EducationFentanyl Overview, Education & TestingLocal Public Health Response EffortsReducing StigmaRequesting free Naloxone Kits?YesNoRequesting free Fentanyl Test Strips?YesNoQuestions or Comments?Submit
