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Project DAWN Toolkit and Attachments

Implementing a Community Take-Home Naloxone Distribution Program for Lay Responders: A Statewide Toolkit for Ohio

Attachment             File type  
1.   Personally Furnishing Naloxone Pursuant to a Protocol             PDF document  
2.   ODH Sample Naloxone Protocol            Word document  
3.   ODH Sample Policies and Procedures             Word document  
4.   Project DAWN Materials Order Form             Word document  
5.   Amphastar Naloxone Rebate Request             PDF document  
6.   Guidance on Billing for Naloxone            PDF document
7.   Project DAWN Staff Training Slide Deck             PowerPoint slide deck  
8.   Naloxone Inventory Log             Excel spreadsheet  
9.   Naloxone Dispensing Log             Excel spreadsheet  
10. Blank Prescriber Labels             Word document  
11. Double-Sided Prescription Cards             Word document  
12. Project DAWN General Intake Form              PDF form  
13. Project DAWN Agency Intake Form             PDF form  
14. Project DAWN Refill Intake Form             PDF form  
15. Project DAWN Monthly Distribution Log             PDF form  
16. Instructions for Data Forms             PDF document  
17. Law Enforcement Agencies Seeking to Obtain Naloxone             PDF document  
18. Summit County Law Enforcement Training             PowerPoint slide deck  
19. Project DAWN Community Collaboration             PDF document  
20. Naloxone Grant for Counties             PDF document  



Last Updated 05/30/2017