Get Phs Form Adm-004 - Usphs

Completing the PHS Form ADM-004 - Usphs online is a straightforward process designed to ensure accurate record-keeping for controlled substances. This guide provides step-by-step instructions to assist users in filling out the form correctly and efficiently.

Follow the steps to complete the PHS Form ADM-004 - Usphs online

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling in the 'Mission' field with the specific mission name associated with the inventory log you are completing.
3. Enter the 'Location' where the controlled substances are stored, ensuring accuracy for record-keeping purposes.
4. In the 'Drug/Strength/Form/Package Size' section, list each controlled substance being inventoried, specifying the strength and package size.
5. Record the 'Date' of the inventory to track when the log was created.
6. Fill in the 'Dispensing RPh' section with the name or initials of the registered pharmacist responsible for dispensing the drugs.
7. Provide the 'Patient Name/DOB or Rx No.' to associate the inventory with the appropriate patient or prescription.
8. Enter the 'NDC Number,' which is the National Drug Code identifying the specific drug being documented.
9. Input the 'Invoice #' which is associated with the order of the controlled substances, often related to DEA 222 documentation.
10. Document the 'Quantity Received' of each substance upon arrival to keep accurate track of inventory levels.
11. Write down the 'Quantity Dispensed' for each item to track how much of the substance has been distributed to patients.
12. Finally, calculate and fill in the 'Balance' section, representing the total remaining quantity of the controlled substance after dispensing.
13. Once all fields are completed, users can save changes, download, print, or share the form as necessary.

Complete your documents online today for accurate and efficient record-keeping.