Resources
Regional ODH Consultants
Project DAWN consultants provide technical assistance and assistance with reporting and ensure Project DAWN Programs are equipped to function at their highest capacity. Your regional Project DAWN consultant is also the person who can take your naloxone orders and answer questions about program procedures, reporting, and general harm reduction needs.
| Western Region of Ohio | Middle Region of Ohio | Eastern Region of Ohio |
|
Casey Pitcock |
Hannah MacDowell |
Steven M. Dunn |
|
Allen |
Adams |
Ashtabula |
Downloadable Forms & Templates
There are many resources, examples, and templates for existing and prospective Project DAWN programs, which are available to download. Below, you will find a list of downloadable resources, including an educational brochure, reporting forms, and more.
| Program Reporting Forms | File Type |
| Project DAWN Monthly Distribution Log 2022 | Excel spreadsheet |
| Naloxone Intake Form Standard Version 3.4 (English) | PDF document |
| Naloxone Intake Form Reduced Version 3.4 (English) | PDF document |
| Naloxone Intake Form Standard Version 3.4 (Spanish) | PDF document |
| Naloxone Intake Form Reduced Version 3.4 (Spanish) | PDF document |
| Naloxone Intake Form Standard Version 3.4 (Somali) | PDF document |
| Naloxone Intake Form Reduced Version 3.4 (Somali) | PDF document |
| Naloxone Intake Form Standard Version 3.4 (Nepali) | PDF document |
| Naloxone Intake Form Reduced Version 3.4 (Nepali) | PDF document |
| Naloxone Intake Form Standard Version 3.4 (Ukrainian) | PDF document |
| Naloxone Intake Form Reduced Version 3.4 (Ukrainian) | PDF document |
| Project DAWN Program Spotlight Form | PDF document |
| Project DAWN Request for Additional Funds for Naloxone | PDF document |
| Project DAWN Naloxone Ordering Flow Chart | PDF document |
| Request to use ODH Naloxone for Off-Site Emergency Storage and Use | PDF document |
| Training and Education Materials | File Type |
| Project DAWN Brochure (English) | PDF document |
| Project DAWN Brochure (Spanish) | PDF document |
| Project DAWN Brochure (Nepali) | PDF document |
| Project DAWN Brochure (Somali) | PDF document |
| Project DAWN Quick Reference Guide (English) | PDF document |
| Project DAWN Quick Reference Guide (Spanish) | PDF document |
| Project DAWN Quick Reference Guide (Nepali) | PDF document |
| Project DAWN Quick Reference Guide (Somali) | PDF document |
| Project DAWN Quick Reference Guide (Ukrainian) | PDF document |
| Kloxxado Community Fact Sheet | PDF document |
| Kloxxado Public Health One Pager | PDF document |
| Kloxxado Quick Start Guide | PDF document |
| Project DAWN Training Video | MP4 format and YouTube |
| Project DAWN Materials Order Form | PDF document |
| Naloxone Distribution Guidance | File Type |
| Personally Furnishing Naloxone Pursuant to a Protocol | PDF document |
| Administration and Community Distribution of Naloxone by Service Entity Personnel | PDF document |
| Naloxone for Emergency Use and Automated Naloxone Dispensing | PDF document |
| Hospitals Providing Naloxone Upon Discharge | PDF document |
| Personally Furnishing Naloxone by Emergency Medical Service Personnel |
PDF document |
| ODH Sample Naloxone Protocol | Word document |
| Sample Service Entity Protocol | PDF document |
| ODH Sample Policies and Procedures | Word document |
| Naloxone Distribution Among Service Entities | PDF document |
Additional resources are available upon request.