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REGISTRATION 2025-2026 Overdose Trainer Program for Narcan Administration

DO NOT REGISTER MORE THAN ONCE.

This training is funded by the Substance Abuse Mental Health Services Administration (SAMHSA) Program and is available to healthcare professionals across Texas and beyond such as MD's, EMT's, MA's, Pharmacists, Social Workers, LCDC's, EMT's, community programs, sororities'/fraternities', educators, families, friends, and EVERYONE. This training is free of charge, and all materials are provided. HHM Health is the first and only premier training provider in Texas for this course. Once obtained, the certification does not expire.
1.First and Last Name(Required.)
2.Agency, Occupation or Role(Required.)
3.Email(Required.)
4.Phone Number(Required.)
5.How will you use the Narcan Training in your profession and/or personal life.(Required.)
6.Check the box for the class you would like to attend.(Required.)
7.Do you give permission to be photographed in class then shared on the HHM website and social media pages? I hereby acknowledge that this Photography Release Form become effective on the date of registration for the SAMHSA Overdose Training Program. I hereby authorize HHM Health to edit, change, copy and make use of these photos for marketing purposes and can be used in marketing materials. I understand I am not entitled to any payment for usage of this photos. I understand I give consent for usage but not limited to publication for the internet, social media, magazines, journals, books, articles, and empirical as well as evidenced based research, articles, training and studies provided that it is done for lawful purposes. I understand these photos are the sole property of HHM Health for lawful purposes. I understand and release all rights to any, but limited to claims, rights, demands, and any causes of action by me or my representatives, heirs, or anyone else. Furthermore, I hereby waive my rights to any royalty or any other compensation with regard to the usage of the photos referred to in this form.(Required.)
8.Do you understand the commitment to the program?(Required.)
9.Do you give consent for collection of data (responses) to be used in publishing projects as well as submission to SAMHSA? The responses will be anonymous.(Required.)
10.Do you speak a language other than English? If so, what language? Will you need a translator?
11.What language will you need a translator?
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