Get Dea Form 224 - Healtheconnections

This guide provides step-by-step instructions on how to complete the DEA Form 224 - HealtheConnections online. By following these clear and structured steps, users can effectively navigate the application process with confidence.

Follow the steps to complete your application easily.

1. Press the ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin filling out Section 1, which is for applicant identification. Provide your last name or business name, first name, middle initial, and any additional business or facility name as needed. Ensure that the address and contact information are accurately entered.
3. In Section 2, select one box to indicate your primary business activity. If you are a practitioner, enter your professional degree as specified.
4. Proceed to Section 3 to check all applicable drug schedules you intend to handle. If ordering schedule II substances, make sure to check the appropriate box.
5. Complete Section 4 regarding state licenses. Indicate whether you are authorized to handle controlled substances and provide the necessary state license numbers.
6. In Section 5, answer all liability questions truthfully. If you answer 'yes' to any, be prepared to provide additional explanations in the space provided or on a separate sheet.
7. If you qualify for a fee exemption, complete Section 6, providing the certifying official's name and contact information.
8. For Section 7, select your method of payment. Review that you are making payment to the correct agency and ensure the fee amount is accurate.
9. Finish with Section 8 by signing and dating the application to certify that all provided information is accurate.
10. Once the form is completed, review all sections for accuracy, then save changes. You may choose to download, print, or share the form as needed.

Start completing your DEA Form 224 online today!