FREE Opioid Overdose & Naloxone Training Request Form

Please use this form to request a FREE Opioid Overdose & Naloxone Response Training for your organization or for a community event - ensure at least 5 partcipants are confirmed for training. If you have questions on how to complete this form, please contact kateri.wimsett@co.thurston.wa.us

First Name *

Last Name *

Phone Number *

Primary Email Address *

Date & time you would like training conducted: *

Training Site Location *

In-person at your site

In-person at Public Health & Social Services

Online (Teams, Zoom, etc.)

Site Address

Organization Name: *

Estimated attendance: *

Any other comments or important considerations: *

412 Lilly Rd. N.E., Olympia, Washington 98506-5132

(360) 867-2500 FAX (833) 499-1806 TDD (360) 867-2603 TDD (800) 658-6384