Naloxone Training Sign-In Sheet Template

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NALOXONE TRAINING SIGN-IN SHEET
Trainer Name: ___________________________________
Date:______________
Group being trained: Sheriff
 Fire
Other: ________________________________
Police
Training Method:  Video/Power Point
 Video Only
 Other ____________________________
First Name
Last Name
Organization
CLEET #
email address
Please sent forms to: or mail to Attn: Zina Simpson PO Box 53277, OKC, OK 73152

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