Report Reversal - Georgia Overdose Prevention

Your email (optional)

Your Zip Code

Information about the overdose survivor:

Survivor's race

Survivor's gender

Information on the overdose reversal:

Approximate date of overdose

Zip code where reversal occurred (if known)

County where reversal occurred

How many doses were given?

Which naloxone product(s) were used? (You can choose more than one)

Narcan Nasal SprayNasal spray given with a syringe without a needle that has a mucosal atomizer and vialNaloxone Vial with Intramuscular Syringe given as injectionEVZIO Auto-InjectorGeneric Auto-InjectorIV AdministrationOther

If "Other" Naloxone product(s) were used, please describe:

If obtained from "Other", please describe:

Any additional message

Report a Reversal

Reversal reports are kept anonymous.