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Illinois Department of Human Services
Michelle R.B. Saddler, Secretary
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Forms

  • IL444-2050 (N-12-11) - Drug Overdose Prevention Program Enrollment Procedures (pdf)
  • IL444-2051 (N-12-11) - Drug Overdose Prevention Program Enrollment Form (pdf)
  • IL444-2052 (N-12-11) - Standing Order to Dispense and Adminster Naloxone (pdf)
  • IL444-2053 (N-12-11) - Overdose Reversal and Naloxone Administration Reporting Form (pdf)

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