Smart Works Supply Order Form Search Submit Search Print this Page Home » Health Information » Drug Use & Harm Reduction » Smart Works Partners » Smart Works Supply Order Form Questions? Please contact Harm Reduction at 613-345-5685 or 1-800-660-5853. Program Site(Required) Order Date(Required) MM slash DD slash YYYY Name(Required) First Name Last Name Phone(Required)Email(Required) Safer Injecting Supplies3mL Syringes barrels (200/box) Needle Tips (100/box) 18G 21G 22G 23G 25G 27G 30G Needle Tips (100/box) - 18G(Required) Needle Tips (100/box) - 21G(Required) Needle Tips (100/box) - 22G(Required) Needle Tips (100/box) - 23G(Required) Needle Tips (100/box) - 25G(Required) Needle Tips (100/box) - 27G(Required) Needle Tips (100/box) - 30G(Required) Needles and Syringes - 28G 1mL - Insulin 1/2 inch (100/box or 500/case) - State Box or Case Needles and Syringes - 30G 1mL - Ultrafine short (100/box or 500/case) - State Box or Case Biohazard Containers Mini (holds 10) Small 1.0 L Medium 4.0 L Large 30 L bin Extra Large 60 L bin Biohazard Containers - Mini (holds 10)(Required) Biohazard Containers - Small 1.0 L(Required) Biohazard Containers - Medium 4.0 L(Required) Biohazard Containers - Large 30 L Bin(Required) Biohazard Containers - Extra Large 60 L Bin(Required) Alcohol Swabs (200/box, 20 boxes/case) - State Box or Case Blister Pack Filters (500 packages of 5/box) Cookers (1000/box) Sterile Water - 3 mL vials (100/box, 10 boxes/case) - State Box or Case Tourniquets (100/box) Vitamin C (1000/box) NSP 10 Pack Kits 28G Needles 30G Needles NSP 10 Pack - 28G Needles(Required) NSP 10 Pack - 30G Needles(Required) Safer Inhalation Program (SIP) SuppliesOne Use Foil - (24 per package - 30 packs/box) Mouth Pieces - Bowl Pipes (50/bag) Mouth Pieces - Straight Stem Pipes (50/bag) Pipes - Bowl (72/box) Pipes - Straight Stem (330/box) Push Sticks (144/box) Screens - Brass IMPACT 1.0 Blue (500/box) Screens - Brass IMPACT 2.0 Orange (500/box) SIP Kits Bowl Pipes Kits Straight Stem Pipes Kits SIP Kits - Bowl Pipes Kits(Required) SIP Kits - Straight Stem Pipes Kits(Required) Straws (mixed colours 10/bag) Other SuppliesPaper Bags Small Medium Large Paper Bags - Small(Required) Paper Bags - Medium(Required) Paper Bags - Large(Required) Baggies Zipper Sealed Tie Closed Baggies - Zipper Sealed(Required) Baggies - Tie Closed(Required) Contraception Condoms (100/bag) Lube (100/bag) Contraception - Condoms (100/bag)(Required) Contraception - Lube (100/bag)(Required) Bandages (80/box) Antibiotic Ointment (144/box) Antiseptic Towelettes BZK (Benzalkonium Chloride) Wipes (100/box) Drug Test Strips (100/box) Fentanyl Benzodiazepine Xylazine Drug Test Strips (100/box) - Fentanyl(Required) Drug Test Strips (100/box) - Benzodiazepine(Required) Drug Test Strips (100/box) - Xylazine(Required) Epsom Salts (2 cup bags) Dressing SuppliesSpecial InstructionsCAPTCHA
