Pouch Request Form

How many boxes of pouches do you need?

Would you like additional prescription medicine safety resources?

Booklets (25/pack)Flyers (100/pack)Magnets (25/pack)Window Cling (1)Counter Card (1)

Please note due to funding restrictions drug deactivation pouches and prescription medicine safety resources are currently available for Summit County partners only. If you have questions, please contact Alyce Jennings at ajennings@cpsummit.org.