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  • Direct Dispensing Log & Controlled Substance Report Requirements

Get Direct Dispensing Log & Controlled Substance Report Requirements

STATE OF CALIFORNIA DEPARTMENT OF JUSTICE DIRECT DISPENSING LOG Veterinary Use Only BNE * (5/04) Veterinarian/Dispenser Name: Veterinary Lic.# Address: Telephone: DEA #: Date of Dispensing Client.

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How to fill out the Direct Dispensing Log & Controlled Substance Report Requirements online

The Direct Dispensing Log & Controlled Substance Report Requirements is a critical document for veterinarians dispensing controlled substances. This guide will provide a clear and supportive framework for completing the form accurately and efficiently online.

Follow the steps to complete the Direct Dispensing Log online.

  1. Locate and select the ‘Get Form’ button to access the Direct Dispensing Log. This will open the form in your preferred online editor for completion.
  2. Begin by entering the veterinarian's name, veterinary license number, address, telephone number, and DEA number in the designated fields. Ensure that this information is accurate for proper identification.
  3. Date of dispensing should be noted accurately for each entry. Record the date beside each client's entry.
  4. In the next section, fill in the client's first name, middle initial (MI), and last name for each dispensing record. This information is vital for tracking and reporting.
  5. Input the client’s complete address, including city, state, and zip code to guarantee proper documentation and follow-up, if needed.
  6. For each drug dispensed, specify the drug name and numeric quantity in the appropriate fields. This ensures clarity in record-keeping.
  7. Include the NDC number of the controlled substance dispensed. This is essential for regulatory compliance.
  8. Indicate the strength of the prescription for each dispensed drug, as well as the client’s date of birth where applicable.
  9. Make sure to select the client’s gender using the provided code: male=1 and female=2.
  10. Finally, complete the reporting month/year and the date submitted at the end of the form. This helps in maintaining an organized submission process.
  11. Once all fields have been filled out, review the information for accuracy. Save changes, and choose to download, print, or share the form as needed.

Complete your Direct Dispensing Log online today to ensure compliance with reporting requirements.

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The Invoice table contains a summary of transaction activity for each invoice or related item. iMIS generates a new invoice record for each new event registration, sales transaction, or (printed) simple order entry invoice, whether or not the item was paid in full.

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Go to a invoice tree view, select several invoices and click expand the action button and click 'Merge Partner Invoice'.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232