We are collecting information through this form to understand overdoses and negative drug reactions in our community. This information will allow us to identify if there is a tainted or potent drug supply or an increase in overdoses so that we can respond and reduce drug-related deaths or harms. Please provide as much information as possible. If your client does not feel comfortable answering a question, or you didn’t get the chance to ask them some questions, fill in as much information as you know. In a situation where more than one person had an overdose or negative drug reaction, please submit a separate form for each person. If you have any questions about this form, please contact Auburn Larose at auburn.larose@healthunit.ca or 705-474-1400 ext 5501.



North Bay
Parry Sound
Burk's Falls

345 Oak Street West

705-474-1400

70 Joseph Street Unit #302

705-746-5801

17 Copeland Street (by appointment only)

1-800-563-2808