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 * RequiredOrder Date - must be mm/dd/yyyy format * Required Date Format: MM slash DD slash YYYY Date Order Filled - must be mm/dd/yyyy format Date Format: MM slash DD slash YYYY Name * Required First Last Phone * RequiredSafer Injecting Supplies3mL Syringes (200/box)Quantity RequiredQuantity ShippedLot Number(s)Needles (100/box) 18G 21G 22G 23G 25G 27G 30G Needles (100/box) * RequiredQuantity RequiredQuantity ShippedLot Number(s)Needles & Syringes – 26G 1mL (100/box)Quantity RequiredQuantity ShippedLot Number(s)Needles & Syringes – 28G 1mL – Insulin ½” (100/box or 500/case)Quantity RequiredQuantity ShippedLot Number(s)Needles & Syringes – 30G 1mL – Ultrafine short (100/box or 500/case)Quantity RequiredQuantity ShippedLot Number(s)Biohazard Containers – 1.0 LQuantity RequiredQuantity ShippedLot Number(s)Biohazard Bins – 30 LQuantity RequiredQuantity ShippedLot Number(s)Alcohol Swabs (200/box or 2,000/case)Quantity RequiredQuantity ShippedLot Number(s)Blister Pack Filters (500 pkgs of 5/box)Quantity RequiredQuantity ShippedLot Number(s)Cookers (1000/box)Quantity RequiredQuantity ShippedLot Number(s)Tourniquets (100/box)Quantity RequiredQuantity ShippedLot Number(s)Vitamin C (1000/box)Quantity RequiredQuantity ShippedLot Number(s)Water – 3 mL vials (100/box or 1,000/case)Quantity RequiredQuantity ShippedLot Number(s)NSP 10 Pack Kits 28G Needles 30G Needles NSP 10 Pack Kits * RequiredQuantity RequiredQuantity ShippedLot Number(s)Safer Inhalation Program (SIP) SuppliesSIP Kits – Straight Stem pipesQuantity RequiredQuantity ShippedLot Number(s)Straight Stem pipes (330/box)Quantity RequiredQuantity ShippedLot Number(s)Screens (500/box)Quantity RequiredQuantity ShippedLot Number(s)Push Sticks (144/box)Quantity RequiredQuantity ShippedLot Number(s)Mouth Pieces for Straight Stem pipes (50/bag)Quantity RequiredQuantity ShippedLot Number(s)SIP Kits – Bowl PipesQuantity RequiredQuantity ShippedLot Number(s)Bowl Pipes – pyrex (72/box)Quantity RequiredQuantity ShippedLot Number(s)Mouth Pieces for Bowl Pipes (50/bag)Quantity RequiredQuantity ShippedLot Number(s)One-Use Foils (30 x 24 packs/box)Quantity RequiredQuantity ShippedLot Number(s)Other SuppliesPaper Bags Small Medium Large Paper Bags * RequiredQuantity RequiredQuantity ShippedLot Number(s)Condoms (100/bag)Quantity RequiredQuantity ShippedLot Number(s)Bandages (80/box)Quantity RequiredQuantity ShippedLot Number(s)Antibiotic Ointment (144/box)Quantity RequiredQuantity ShippedLot Number(s)CAPTCHA
