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Fentanyl Test Strip Request Form - MCPH (Ver 1.0 Rev 7/7/2023)
To receive 5 Fentanyl Test Strips (FTS) from Mahoning County Public Health:
1.) Answer the questions and submit this request form.
2.) Fentanyl is an opioid painkiller that can cause severe breathing problems or death in high doses. Fentanyl can be found in a number of street drugs. Naloxone, also called NARCAN®, is a medication that can reverse an overdose from opiates, including fentanyl, and save lives by blocking the effects of opioids on the brain and quickly restoring breathing. You can also request a Narcan Kit from this request form.
3. ) FTS and Narcan Kits can now be mailed to residents of Mahoning County only (indicated by mailing address). You will indicate later in this form to request to have your FTS mailed or you may also pick them up at our office.
4.) If picking up, you will receive a phone call or email stating that your request form was received and when your FTS will be ready for you. Then you can go to the Nursing Division at Mahoning County Public Health located at 50 Westchester Drive, Austintown, OH 44515 between the hours of 8 am to 4:30 pm, Monday through Friday (closed on federal holidays) to pick up your FTS.