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Dental Controlled Substance Registration Renewal
You may renew your registration online at www.pla.in.gov or complete and mail this document with the renewal fee of $60
to the office address shown
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How to fill out dental controlled substance registration

How to fill out dental controlled substance registration:
01
Obtain the necessary forms from your state's dental board or regulatory agency. These forms may also be available online for download.
02
Carefully read and understand the instructions provided with the registration forms. Make sure you have all the required information and documents ready before proceeding.
03
Fill out the personal information section accurately, including your full name, contact information, and professional license number.
04
Provide details about your dental practice, such as the name and address of the clinic or office where you will be storing and administering controlled substances.
05
Indicate the type of controlled substances you will be handling and storing at your dental practice. This may include schedule II, III, IV, or V drugs.
06
If applicable, provide information about any employees or staff members who will be involved in handling controlled substances at your dental practice. Include their names, positions, and relevant license numbers.
07
Include any additional information or documents required by your state's regulatory agency. This may include proof of continuing education in controlled substance management or documentation of secure storage facilities.
08
Review your completed registration form for accuracy and completeness. Ensure that all required fields are filled out correctly and all necessary supporting documents are attached.
09
Submit your completed dental controlled substance registration form and any required fees to the appropriate regulatory agency. Be sure to follow any specific instructions for submission, such as mailing address or online submission portal.
Who needs dental controlled substance registration?
01
Dentists who prescribe and administer controlled substances in their dental practice need dental controlled substance registration.
02
Dental hygienists who are authorized to handle or administer controlled substances under the supervision of a licensed dentist may also need dental controlled substance registration, depending on state regulations.
03
Dental clinics or practices that store and dispense controlled substances for patient care and treatment must also obtain dental controlled substance registration.
Please note that specific requirements and regulations regarding dental controlled substance registration may vary by state. It is important to consult your state's dental board or regulatory agency for the most accurate and up-to-date information.
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What is dental controlled substance registration?
Dental controlled substance registration is a process where dentists are required to register with the appropriate authorities in order to legally possess and administer controlled substances.
Who is required to file dental controlled substance registration?
Dentists who plan to prescribe, administer, or dispense controlled substances in their practice are required to file dental controlled substance registration.
How to fill out dental controlled substance registration?
Dentists can fill out dental controlled substance registration by completing the necessary forms provided by the regulatory agency and submitting them along with any required documentation.
What is the purpose of dental controlled substance registration?
The purpose of dental controlled substance registration is to help regulate the use of controlled substances in dental practices, prevent abuse and diversion, and ensure compliance with applicable laws and regulations.
What information must be reported on dental controlled substance registration?
Dental controlled substance registration typically requires dentists to report their personal information, practice details, and a list of controlled substances they plan to prescribe, administer, or dispense.
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