Become an Overdose Prevention Coalition Member! Help Create a Safer San Mateo and Reduce Drug Overdoses in Our Community.
Please complete this form if you are interested in being a part of the San Mateo County Overdose Opioid Prevention Coalition.
*
1.
Name
(Required.)
*
2.
Email
(Required.)
3.
Please choose a category that you are representing best.
First responders
Health care providers, hospitals, clinics
Behavioral health + recovery centers
Public health department
Schools + academic institutions
Law enforcement
Local government
Person with lived experience
Faith based community
Non-profit organization/business
For-profit organization/business
Concerned community members
Other (please specify)
4.
What is your preferred meeting venue?
In-person
Virtual
Both
5.
How would you like to be involved?
Attending meetings
Organizing educational events in the community
Speaking and sharing lived experiences
Referring others to join the coalition
Serving on a planning committee
Serving on an action team
Working with youth
Other (please specify)
6.
List your zipcode
7.
Any questions, comments or concerns?
Thank you for your interest in the San Mateo County Overdose Prevention Coalition. We will be in touch with you via email.