← Harm Reduction Hub

Take-away Supplies Form

Thanks for visiting the Hub @ 395! As part of our needle and syringe programme contract, we have to keep track of items given out. We won't ask for any personal info here, but we do ask you to log the numbers of items you are taking to help us keep running :)

* Required fields

What type of supplies did you take?

Press all that apply:

What did you take and how many?

Enter the amount for each item you took:

Fixed Needle + Syringes

Syringes (Barrels Only)

Needles

Safer Injection Supplies

Safer Sex Items

Testing Strips