Request for Naloxone (Narcan)

The Illinois Naloxone Standing Order allows eligible entities to provide naloxone to any requesting person with the intent to respond to a suspected opioid overdose without a direct prescription.

Please submit the requested information below to express a need for naloxone.

The information you provide is HIPAA protected and is only accessible by Evanston Public Health Officials.
1.First Name
2.Last Name
3.Email
4.Phone Number
5.Are you an Evanston resident?
6.The naloxone can be picked up from the Evanston Civic Center during business hours, Monday - Friday.

What time of day would you prefer to pick up?