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2. Was the person revived after Narcan use?

   1. Yes
   2. No
4. Was EMS contacted?

   1. Yes
   2. No
6. If you would like further contact from Kenosha County Public Health, please fill out the fields below
8. First Name
9. Last Name
11. Email Address
12. Telephone Number
14. Describe Your Experience (Optional)
    Enter Information Here

    Note: Any names or locations will remain confidential and will not be reported to anyone.

16. Need more Narcan?

    If you are in need of more Narcan, please visit the Kenosha County Public Health Job Center Clinic at 8600 Sheridan Road, Kenosha, or send an email to narcan@kenoshacounty.org. 

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18. Submit

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