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 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)Needles and Syringes - 28G 1mL - Insulin 1/2 inch (100/box or 500/case) - State Box or CaseNeedles and Syringes - 30G 1mL - Ultrafine short (100/box or 500/case) - State Box or CaseBiohazard 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 CaseBlister Pack Filters (500 packages of 5/box)Cookers (1000/box)Sterile Water - 3 mL vials (100/box, 10 boxes/case) - State Box or CaseTourniquets (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)Antiseptic Towelettes BZK (Benzalkonium Chloride) Wipes (100/box)Condoms0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100Special InstructionsCAPTCHA
