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About Us
Our Team
About Us
Our Culture & Values
History
Locations
Annual Reports
Programs & Services
Programs
Events
Kansas Opioid and Stimulant Conference
Leading Causes of Life 5K
Ways to Support
Resources
Substance Use Disorder Treatment FAQ
Begin Recovery
Request a Training
Prevention Resources & Toolkits
Client Resources
Support DCCCA
Improving Lives…Close to Home
Recovery Today Fund
Volunteer
Careers
Contact
Contact
Employee Log-In
Pay Bill
Donate
About Us
Our Team
About Us
Our Culture & Values
History
Locations
Annual Reports
Programs & Services
Programs
Events
Kansas Opioid and Stimulant Conference
Leading Causes of Life 5K
Ways to Support
Resources
Substance Use Disorder Treatment FAQ
Begin Recovery
Request a Training
Prevention Resources & Toolkits
Client Resources
Support DCCCA
Improving Lives…Close to Home
Recovery Today Fund
Volunteer
Careers
Contact
Contact
Employee Log-In
Pay Bill
Donate
Naloxone Training Request Form
Naloxone Training Request Form
Agency/Organization
(Required)
First Name
(Required)
Last Name
(Required)
Email
(Required)
Address
(Required)
Street Address
City
ZIP Code
County (KS)
(Required)
Select
Allen
Anderson
Atchison
Barber
Barton
Bourbon
Brown
Butler
Chase
Chautauqua
Cherokee
Cheyenne
Clark
Clay
Cloud
Coffey
Comanche
Cowley
Crawford
Decatur
Dickinson
Doniphan
Douglas
Edwards
Elk
Ellis
Ellsworth
Finney
Ford
Franklin
Geary
Gove
Graham
Grant
Gray
Greeley
Greenwood
Hamilton
Harper
Harvey
Haskell
Hodgeman
Jackson
Jefferson
Jewell
Johnson
Kearny
Kingman
Kiowa
Labette
Lane
Leavenworth
Lincoln
Linn
Logan
Lyon
Marion
Marshall
McPherson
Meade
Miami
Mitchell
Montgomery
Morris
Morton
Nemaha
Neosho
Ness
Norton
Osage
Osborne
Ottawa
Pawnee
Phillips
Pottawatomie
Pratt
Rawlins
Reno
Republic
Rice
Riley
Rooks
Rush
Russell
Saline
Scott
Sedgwick
Seward
Shawnee
Sheridan
Sherman
Smith
Stafford
Stanton
Stevens
Sumner
Thomas
Trego
Wabaunsee
Wallace
Washington
Wichita
Wilson
Woodson
Wyandotte
Phone
(Required)
Who's this training for?
What method of training do you prefer?
In-Person (Minimum of 15 attendees required)
Virtual Webinar
How many participants are you expecting?
What is the preferred day of the week for the training?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What is the preferred time of the day for the training?
Morning
Afternoon
Evening
Has your agency encountered an overdose in the past year?
Yes
No
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