DEA-363 2017-2025 free printable template

APPROVED OMB NO 11170015 FORM DEA363 (0412) FORM EXPIRES: 9/30/2021APPLICATION FOR REGISTRATIONForm363Under the Narcotic Addict Treatment Act of 1974INSTRUCTIONSSave time apply online at www.deadiversion.usdoj.gov

How to fill out enforcement administration registration 2017-2025

How to fill out DEA-363

1. Obtain the DEA Form 363 from the DEA website or authorized distributor.
2. Complete the identification section with your name, address, and other personal information.
3. Specify the type of facility applying for the registration (e.g., drug treatment program).
4. Describe the activities that will be conducted under this registration.
5. Include any required supporting documentation, such as a copy of the state license.
6. Review the form for accuracy and completeness.
7. Sign and date the application.
8. Submit the completed form to the DEA as instructed.

Who needs DEA-363?

1. Organizations that operate drug treatment programs.
2. Entities that engage in the legal dispensing or administering of controlled substances for treatment purposes.
3. Healthcare facilities wishing to provide substance abuse treatment services.

People Also Ask about

What are the different DEA forms?

Match DEA Form 222. purchase schedule I and II drugs. DEA Form 224. dispense controlled substances. DEA Form 225. manufacture controlled substances. DEA Form 106. loss/theft of controlled substances. DEA Form 41. destroy controlled substances. DEA Form 363. compounding controlled substances, controlled substance treatment program.

Can a DEA number have multiple addresses?

If you have multiple clinics/offices in one state and you HAVE SUPPLIES OF CONTROLLED SUBSTANCES TO ADMINISTER OR DISPENSE AT THOSE MULTIPLE LOCATIONS – you need a separate DEA registration for each location. If you PRACTICE IN MULTIPLE STATES – you need a DEA registration for each state where you practice.

Which DEA form must be filled out for destruction of controlled substances?

Registrant Record of Controlled Substances Destroyed - DEA Form 41.

What is DEA form 363 used for?

These practitioners register as Narcotic Treatment Programs using DEA Form 363, and using DEA Form 363a for renewals. DEA is proposing to revise the regulations for application and renewal by requiring all DEA registrants to apply for registration online using the agency's secure portal.

How long does an address change take on a DEA?

How long does it take to transfer a DEA license? Once the request to transfer has been submitted to the DEA, it can take anywhere from 2 days to a few weeks for the transfer to be approved.

How do I change my address with CA DEA?

For these matters call 1-800-882-9539; for change of address, use the Address Changes Form.

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What is DEA-363?

DEA-363 is a form used to apply for or register as a Narcotic Treatment Program (NTP) in accordance with the Drug Enforcement Administration (DEA) regulations in the United States.

Who is required to file DEA-363?

Organizations or individuals that wish to operate a Narcotic Treatment Program and dispense or administer controlled substances for the treatment of opioid addiction are required to file DEA-363.

How to fill out DEA-363?

To fill out DEA-363, one must provide information such as the type of facility, ownership, location, and the type of narcotic treatment provided, as well as submitting required documentation with the application.

What is the purpose of DEA-363?

The purpose of DEA-363 is to regulate the registration of Narcotic Treatment Programs to ensure compliance with federal laws regarding the administration of opioid addiction treatment and the handling of controlled substances.

What information must be reported on DEA-363?

Information required on DEA-363 includes the program name, address, ownership details, qualifications of the medical director, treatment services offered, and compliance with state and federal regulations.