Report a naloxone use

Help us understand how naloxone from Byron’s Box is used. No names or contact details are planned.

This is not an emergency service. If someone may be overdosing, give naloxone, thencall 911 immediately.

Form draft — reporting is not open yet

These controls are disabled. This page cannot send or save a report. The questions and privacy information are still being reviewed.

Please do not provide anyone’s name, birth date, contact details, diagnosis, or address.

About the naloxone use

One report would describe one event. If you do not know an answer, you could leave it unknown.

Approximate month (optional)

Approximate year (optional)

Byron’s Box station (optional)

The live form would offer verified box identifiers. No address is requested.

Number of doses given (if known)

Count the doses used during this event. A blank answer would mean unknown.

What did you observe?

This asks only what you observed. It does not ask you to make a medical diagnosis.

How reports could be used

Reports would help us understand naloxone use and prepare program summaries. A self-reported response to naloxone is not an independently verified overdose reversal or a verified count of lives saved.

Before reporting opens, we will explain who can access reports, how long they are kept, and what information may be included in program reporting.