Syringe Exchange Client Enrollment Form - North Dakota

Syringe Exchange Client Enrollment Form is a legal document that was released by the North Dakota Department of Health and Human Services - a government authority operating within North Dakota.

FAQ

Q: What is the purpose of the Syringe Exchange Client Enrollment Form?
A: The form is used for enrolling clients in the Syringe Exchange Program in North Dakota.

Q: Who can use the Syringe Exchange Program in North Dakota?
A: Anyone who injects drugs or uses drugs that can be injected can use the program.

Q: What information is required on the enrollment form?
A: The form requires basic personal information such as name, date of birth, and contact information.

Q: Is the information on the enrollment form kept confidential?
A: Yes, the information provided on the form is kept confidential and is protected by privacy laws.

Q: Do I need identification to enroll in the Syringe Exchange Program?
A: No, identification is not required to enroll in the program.

Q: Can I enroll another person in the Syringe Exchange Program?
A: No, each individual must complete their own enrollment form.

Q: What services are provided through the Syringe Exchange Program?
A: The program provides clean syringes, safe disposal containers, and education about safe injection practices.

Q: Are there any fees associated with the Syringe Exchange Program?
A: No, all services provided by the program are free of charge.

Q: Can I receive referrals to other health or social services through the program?
A: Yes, the program can provide referrals to other health and social services as needed.