Get Nc Dhhs 226-a

The NC DHHS 226-A form is essential for hospital registration renewal under the North Carolina Controlled Substances Act. This guide provides clear and comprehensive steps to assist in accurately completing the form online.

Follow the steps to successfully complete the NC DHHS 226-A online.

1. Use the ‘Get Form’ button to access the NC DHHS 226-A online. This will open the form in your editor for completion.
2. Start by filling in Section A, Registrant Information. Include details such as facility name, NC DHHS registration number, address, county, and contact numbers. Be diligent in ensuring all fields are filled appropriately, using 'N/A' where necessary.
3. Proceed to Section B, Registration Classification. Select applicable drug schedules by checking the corresponding boxes and answer any questions regarding prior convictions or registration actions.
4. In Section C, Point of Contact, list up to three individuals who can be contacted during an inspection. Include their names, titles, and direct contact numbers to ensure the Drug Control Unit can reach the right personnel.
5. Complete Section D by providing the date of your most recent NC DHHS registration and any changes to your registration status. If applicable changes are noted, inform the form that a new registration is required using Form DHHS 224.
6. Fill out Section E, Drug Enforcement Administration Registration. Indicate whether the registrant currently possesses controlled substances and provide the DEA registration status.
7. Sections F through Y cover various suppliers and storage areas. Describe suppliers of controlled substances and detail the security measures and procedures for each area where controlled substances are stored, as required in these sections.
8. In Section Z, outline the controls the hospital has implemented to prevent the diversion of controlled substances, mentioning any software or monitoring systems in place.
9. After thoroughly reviewing all sections, finalize the form. Save your changes, download the completed PDF, and print it if necessary.
10. Email both the completed electronic PDF and a signed copy to the designated email along with any additional forms, ensuring all requested documentation is included.

Complete your NC DHHS 226-A form online today to ensure your hospital's registration renewal.