Naloxone Reporting

Fill out the online naloxone reporting form

WDG Public Health is using new survey software. This means that the survey link has changed and the survey will look slightly different. All of the questions are the same as they were before. Please use the link above. You will no longer be able to access the old link. If you have any questions, please contact Lauren.Alonso@wdgpublichealth.ca.

Naloxone reporting instructions

Naloxone kits are provided by the Ministry of Health and Long-Term Care (MOHLTC) through the Ontario Naloxone Program. As per the program’s requirements Wellington-Dufferin-Guelph Public Health (WDGPH) is responsible for collecting details regarding every naloxone kit and component that is distributed. This information is important to understand the need for naloxone in the community, and to generate continued support for the program.

The following steps outline the process of recording and reporting back to Public Health:

  1. When distributing naloxone through training or refilling a kit, complete the naloxone administration form. Ensure the correct fields are completed. If conducting training, ensure training details are recorded on the back of the sheet.
  2. Once the form is complete, and within two weeks, enter the details into the online naloxone reporting form.

Please make sure to submit naloxone information within two weeks of distributing.

If there are any questions regarding naloxone tracking, please contact Jaime Oliver via the form below.