Medication Safety Presentation & Information Request

Please fill out the form below to request a medication safety presentation or handouts for your facility. Once you fill out the form, you will receive a confirmation notice in your email, and someone will get in touch with you. If you have questions, please call Laura at (610) 376-8669 ext. 122 or email at lcatalano@cocaberks.org.

SOS Berks Medication Safety Information Request

"*" indicates required fields

Your Name*

First Last

Email*

Phone

Facility Name*

Please let us know what you are requesting. Check all that apply*

A medication safety presentation for residents

A medication safety handout that you can distribute to your residents

Would you also like information on Narcan?

Yes

If you are requesting a presentation, do you need us to provide a Spanish translator?

Yes

A presentation will take about 15 - 20 minutes. Please let us know what days of the week/times would work best for your residents.