5 Steps To Fill Out Dea 82 Form

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Accurate and thorough completion of the DEA Form 82 is crucial for healthcare professionals, particularly dentists, who handle controlled substances. The DEA Form 82, also known as the "Application for Registration to Handle List I Chemicals" or "DEA Form 82 - Application for Registration to Handle List I Chemicals", is a critical document that allows dental professionals to obtain, store, and dispense controlled substances. However, filling out this form can be a daunting task, especially for those who are new to the process. In this article, we will guide you through the 5 essential steps to fill out the DEA Form 82 accurately and efficiently.

Step 1: Gather Required Information and Documents

Before starting to fill out the DEA Form 82, gather all the necessary information and documents. This includes:

• Your DEA registration number (if you have one)
• Your name and address
• Your dental license number and state of licensure
• Your National Provider Identifier (NPI) number
• The address of your dental practice or clinic
• The names and titles of your employees or staff members who will be handling controlled substances

Make sure you have all the required documents, including your dental license, DEA registration (if applicable), and NPI verification.

Step 2: Determine Your Business Activity and Chemicals

In this step, you need to determine your business activity and the chemicals you will be handling. This information will help you complete the form accurately.

• Identify your business activity: Check the box that corresponds to your business activity, such as "Dentist" or "Dental Clinic".
• List the chemicals: Provide the names of the List I chemicals you will be handling, such as ephedrine or pseudoephedrine.

Be precise when listing the chemicals, as this information will be used to verify your registration.

Step 3: Complete the Application and Certification Sections

This step requires you to complete the application and certification sections of the form.

• Application section: Fill out the application section, providing information about your business, including your name, address, and contact details.
• Certification section: Sign and date the certification section, attesting that the information provided is accurate and true.

Ensure that you read the certification statement carefully and understand the implications of signing the form.

Step 4: Provide Additional Information and Supporting Documents

In this step, you may need to provide additional information and supporting documents.

• Additional information: Provide any additional information required by the DEA, such as the names of your employees or staff members who will be handling controlled substances.
• Supporting documents: Attach any supporting documents, such as a copy of your dental license or NPI verification.

Double-check that you have provided all the required information and supporting documents to avoid delays in processing your application.

Step 5: Review, Sign, and Submit the Application

The final step is to review, sign, and submit the application.

• Review the application: Carefully review the application to ensure that all the information is accurate and complete.
• Sign the application: Sign the application in the presence of a notary public, if required.
• Submit the application: Submit the application to the DEA, either online or by mail, along with the required fee.

Ensure that you keep a copy of the application and supporting documents for your records.

By following these 5 steps, you can ensure that your DEA Form 82 is completed accurately and efficiently. Remember to take your time and carefully review the application before submitting it to the DEA.

Frequently Asked Questions

If you have any further questions or concerns, please do not hesitate to contact us. We are here to help you navigate the DEA Form 82 application process.