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Thisnoticedescribeshowmedical/Dentalinformationaboutyoumaybeusedanddisclosedandhowyoucanget accesstothisinformation. Pleasereaditcarefully. Weunderstandthattheprivacyofyourpersonalinformationisimportanttoyou.
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How to fill out asofjuly12011formstateofcoloradorequiresthatanyonewhoisprescribedacontrolledsubstancenarcoticwillhaveformirinformationenteredintoa

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Fill out the form with your personal information, including your name, address, and contact details.
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Provide details about the controlled substance or narcotic that you have been prescribed, including the name and dosage.
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Anyone who is prescribed a controlled substance or narcotic in the state of Colorado is required to have the asofjuly12011formstateofcoloradorequiresthatanyonewhoisprescribedacontrolledsubstancenarcoticwillhaveformirinformationenteredintoa filled out.
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The form is the Colorado Prescription Drug Monitoring Program (PDMP) form.
Healthcare providers who prescribe controlled substances or narcotics are required to file the form.
The form can be filled out online through the Prescription Drug Monitoring Program (PDMP) website.
The purpose of the form is to help track and monitor the prescribing of controlled substances to prevent abuse and diversion.
The form requires information such as patient details, prescriber information, and details of the controlled substance prescribed.
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