THN Program Resources

• THN Site Registration Materials
  THN Site Registration Forms
  
  This page is intended for registered sites already particiating in the THN Program. Potential sites should refer our Take Home Naloxone program page to review site eligibility and registration requirements.
  Organisations looking to register additional locationsmay use the form below. Please connect with your regional Harm Reduction Coordinator for pre-approva prior to submitting youre registration to the BCCDC.
  New Site Registration Form 
  Harm Reduction Coordinator/Lead Contact List
  How to Register a THN Satellite site
  

  Satellite sites are registered sites that receive kits from existing THN distribution site, and do not order direclty from the BCCDC.

  Existing sites looking to support a satellite site must complete the following form and connect with their regional Harm Reduction Coordinator/Lead for pre-approval prior to registering with the BCCDC.

  Satellite Site Registration Form

• Registered THN Site Resources
  THN New Site Resource
  

  For registered sites looking for a full overview of the program and its requirements please refer to the THN New Site Resource. 

  THN Supply Order Form
  

  Registered sites may order naloxone kits and training materials by completing the supply order form and submitting to naloxone@bccdc.ca for processing.

  Orders are processed every Thursday. Orders must be received by end-of-day 11:59pm Wednesday for processing that week, or orders will be carried over into the following week.

  Please allow 10 working days for delivery and plan ahead to avoid shortages. Email naloxone@bccdc.ca for queries, follow-ups or changes to orders.

  THN Kit Transfer Record
  

  This form is required for THN kit transfers between registered Primary sites and their Satellite sites. 

  IMPORTANT: Primary sites that transfer kits to other locations must ensure their Satellite Sites have been registered with the BCCDC. All potential sites should use the Satellite Site Registration Form to register and obtain a site ID number. 

  THN Overdose Response Information Form
  

  The overdose administration form is included inside every THN kit. The completion of these forms provides valuable information to the BCCDC which helps to inform our program.

  Please assist clients with completing this form if a kit has been reported as 'used'. 

  Completed forms can be emailed to naloxone@bccdc.ca or Faxed to 604-707-2516

  THN Site Contact Changes
  

  Registered site can use the Site Contact Change Form to notify the program of any changes to contact information or personnel. 

  Completed forms can be emailed to naloxone@bccdc.ca or Faxed to 604-707-2516 

• THN Distribution Reporting
  THN Distribution Reporting
  

  Distribution data provides valuable information to the BCCDC which can help to inform our program.

  • THN sites will be invited to share information on THN kits given out to individuals over a specified two week period annually.

  Site coordinators will be contacted via email with an invitation to participate and additional details. Please see the FAQ for more information.

• How to Report Faulty Supplies
  How to Report Faulty Supplies
  

  If your site has received faulty supplies, please provide the BCCDC with the following details:

  o   product code

  o   lot/serial #

  o   site contact name and contact info

  o   description of the problem

  o   availability of samples

  For faulty Take Home Naloxone, please email details to naloxone@bccdc.ca and CC your local Harm Reduction Coordinator. 

  You may be contacted directly by the BCCDC pharmacy should they require  further information or need to arrange a sample to be returned to their warehouse.