To acquire access and continuing support of vending machine supplies, a completed online application consent form is required.
Upon completion, the limited information you provided will be stored, reviewed, analyzed, and secured by the collaborators of this project, who are: Southern Nevada Health District, Impact Exchange, and Trac-B Exchange.
If you do not wish to complete the online form at this time, you may contact the agencies below, or your local public health or harm reduction agency to assist you.