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How to fill out the Nrb online
This guide provides a clear and supportive approach to completing the Nrb for controlled substances registration. By following the instructions outlined here, you can efficiently navigate the online form, ensuring all necessary information is accurately submitted.
Follow the steps to complete your Nrb registration online.
- Press the ‘Get Form’ button to access the form and view it in your preferred online editor.
- Begin with the application for registration section. Indicate the type of registration you are applying for by selecting either 'New Registration', 'Additional Registration', or 'Renew Existing Registration'. Make sure to provide your existing registration number if applicable.
- Complete the applicant information section by entering your last name, first name, middle name, suffix (if any), degree (if any), date of birth, social security number, email address, current board license number, DEA registration number, and national provider identifier (if any), along with their expiration dates.
- Provide your business address, including the physical address (do not use a P.O. Box), city, state, ZIP + 4 code, and county. Select the type of phone number you wish to provide — office, cell, or home — and include your international phone number if necessary.
- Fill out the supervising physician information. If more than one physician is supervising, attach the additional information separately. Include their last name, first name, middle name, medical board number, date of birth, social security number, DPS number, and ensure the supervising physician signs and dates the section.
- In the drug schedules section, select all applicable drug schedules by checking the corresponding boxes.
- Answer the liability questions truthfully. For each question, select either 'Yes' or 'No', and provide a letter for any affirmative responses as instructed.
- Determine if you qualify for an exemption from the fee. If applicable, select 'Yes' and attach the Certification of Exemption From Fee Form NRB-80.
- Verify that all information provided is correct. Sign and date the application, ensuring that the signature is that of the applicant or authorized individual, as specific in the instructions.
- Once all sections are completed and verified, save your changes, download the completed form, and print or share it as required.
Complete your Nrb registration online today for a seamless submission process.
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