Common Contracts
2 similar Acknowledgment Agreement contracts
Naloxone Acknowledgment AgreementAcknowledgment Agreement • June 18th, 2018
This form must be filled out and given to your pharmacist in order to acquire naloxone. Before filling out this form, be sure you have read, reviewed, and understand all risks, benefits, and appropriate uses of naloxone. If you need to review such materials and to learn more about where to find substance abuse detox, treatment and recovery, return to www.HelpisHereDE.com for the information or speak with your pharmacist.
Naloxone Acknowledgment AgreementAcknowledgment Agreement • June 18th, 2018
This form must be filled out and given to your pharmacist in order to acquire naloxone. Before filling out this form, be sure you have read, reviewed, and understand all risks, benefits, and appropriate uses of naloxone. If you need to review such materials and to learn more about where to find substance abuse detox, treatment and recovery, return to www.HelpisHereDE.com for the information or speak with your pharmacist.
