Form preview

Get the free APPLICATION FOR CONTROLLED SUBSTANCES REGISTRATION – ADVANCED PRACTICE NURSES - dpr ...

Get Form
This is an application form for advanced practice nurses in Delaware to obtain a controlled substances registration, necessary for prescribing and dispensing controlled substances. The application
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign application for controlled substances

Edit
Edit your application for controlled substances form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your application for controlled substances form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing application for controlled substances online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the steps down below to take advantage of the professional PDF editor:
1
Log into your account. It's time to start your free trial.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit application for controlled substances. Replace text, adding objects, rearranging pages, and more. Then select the Documents tab to combine, divide, lock or unlock the file.
4
Save your file. Select it from your list of records. Then, move your cursor to the right toolbar and choose one of the exporting options. You can save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud, among other things.
With pdfFiller, it's always easy to work with documents.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out application for controlled substances

Illustration

How to fill out APPLICATION FOR CONTROLLED SUBSTANCES REGISTRATION – ADVANCED PRACTICE NURSES

01
Obtain the APPLICATION FOR CONTROLLED SUBSTANCES REGISTRATION form from your state's regulatory board or website.
02
Fill out your personal information including your name, address, and contact details.
03
Provide information about your advanced practice nursing credentials and any relevant certifications.
04
Indicate the specific controlled substances you intend to prescribe or administer.
05
Complete any required sections regarding your practice setting and the nature of your work.
06
Sign and date the application to certify the accuracy of the information provided.
07
Submit the completed application form along with any required fees to the appropriate regulatory agency.

Who needs APPLICATION FOR CONTROLLED SUBSTANCES REGISTRATION – ADVANCED PRACTICE NURSES?

01
Advanced Practice Nurses (APNs) who wish to prescribe controlled substances in their practice.
02
Nurse practitioners, clinical nurse specialists, and nurse anesthetists seeking to enhance their scope of practice.
03
Healthcare providers who need legal authority to administer specific controlled medications.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
24 Votes

People Also Ask about

How to obtain a CDS license? Step 1: Determine the requirements in their state. Step 2: Complete the necessary education and training. Step 3: Obtain the necessary documentation. Step 4: Apply for the license. Step 5: Maintain compliance with state and federal laws.
I am a nurse practitioner (NP): How do I apply for DEA number? Apply online at the U.S. Department of Justice website. Call the DEA Headquarters Registration Unit toll free at 800-882-9539 or call your nearest DEA Registration Field Office to request a physical copy of the order form.
DEA 222 forms may be ordered by calling: DEA Headquarters Registration Unit toll free at 800-882-9539. St. Louis DEA Registration Field Office 314-538-4600.
Apply online at the U.S. Department of Justice website. This resource is only available to new applicants. Call the DEA Headquarters Registration Unit toll free at 800-882-9539 or call your nearest DEA Registration Field Office to request a physical copy of the order form. Forms will be mailed within 10 working days.
Registration categories, fees and requirements may be viewed at DEA Registration. New applications are generally processed within 6 to 8 weeks. Applicants may call the DEA at 1-800-882-9539 to check on the status of their application or call their nearest DEA Field Office if they have additional questions.
0:55 2:26 Website for new applicants you will need to select the appropriate DEA. Form based on your businessMoreWebsite for new applicants you will need to select the appropriate DEA. Form based on your business category. Such as DEA form 224 for practitioners or mid-level practitioners after submitting your
The cost of a DEA license depends on several factors, including the type of practitioner applying for the registration. The initial application can range from $731 to $3,007, with higher fees for those in certain specialized categories.
Complete the online DEA Registration Form 224 or 225. Once your application is submitted, a DEA Investigator will be in touch with you to schedule an upcoming meeting or visit to approve your application.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

APPLICATION FOR CONTROLLED SUBSTANCES REGISTRATION – ADVANCED PRACTICE NURSES is a formal application that allows advanced practice nurses (APNs) to obtain the necessary authorization to prescribe, dispense, or administer controlled substances as part of their professional practice.
Advanced practice nurses, including Nurse Practitioners (NPs) and Clinical Nurse Specialists (CNSs), who wish to prescribe controlled substances must file the APPLICATION FOR CONTROLLED SUBSTANCES REGISTRATION.
To fill out the APPLICATION FOR CONTROLLED SUBSTANCES REGISTRATION, applicants must provide their personal information, professional credentials, practice details, and any relevant state licenses. Additionally, they may need to include information about their supervising physician if applicable.
The purpose of the APPLICATION FOR CONTROLLED SUBSTANCES REGISTRATION is to ensure that advanced practice nurses are authorized to prescribe controlled substances safely and effectively, adhering to legal and regulatory standards.
The information that must be reported includes personal identification details, professional certifications, state license numbers, practice address, and any relevant disclosures regarding previous disciplinary actions or criminal history.
Fill out your application for controlled substances online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.