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WAIVER REQUEST FORM Health Care Facility (Hospital) DPH DHC, 99 Chauncey Street, 2nd Floor, Boston, MA 02111 NOTE: A SEPARATE WAIVER REQUEST FORM MUST BE SUBMITTED FOR EACH REQUIREMENT TO BE WAIVED.

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What is mass dph controlled substance?

Mass DPH controlled substance refers to a substance that is regulated and controlled by the Massachusetts Department of Public Health.

Who is required to file mass dph controlled substance?

Any individual or organization that manufactures, distributes, dispenses, or handles controlled substances in Massachusetts is required to file Mass DPH controlled substance reports.

How to fill out mass dph controlled substance?

To fill out Mass DPH controlled substance reports, you need to provide the required information such as the name of the controlled substance, quantity, supplier information, and other relevant details. This can be done through the Mass DPH online reporting system.

What is the purpose of mass dph controlled substance?

The purpose of Mass DPH controlled substance reporting is to monitor and track the distribution, usage, and handling of controlled substances in Massachusetts for regulatory and public health purposes.

What information must be reported on mass dph controlled substance?

The information that must be reported on Mass DPH controlled substance includes the name and address of the reporting entity, the controlled substances involved, quantities, dates of transactions, and other required details as specified by the Mass DPH.

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