Get Md Controlled Dangerous Substance Destruction Report 2011-2025

This guide provides clear, step-by-step instructions for completing the MD Controlled Dangerous Substance Destruction Report online. Ensuring accurate and timely submission of this form is essential for compliance with regulatory requirements.

Follow the steps to complete the MD Controlled Dangerous Substance Destruction Report successfully.

1. Click the ‘Get Form’ button to access the MD Controlled Dangerous Substance Destruction Report and open it in the designated online editor.
2. Fill in the facility name, ensuring it matches the official records. This should be the name of the location where the destruction is occurring.
3. Enter the name of the Director of Nursing at the facility. This identifies the responsible person overseeing the process.
4. Input the complete address of the facility, including the street address, city, and zip code.
5. Provide the facility's license number as required, which verifies the facility's legal authority to handle controlled substances.
6. Note that the completed form must be forwarded within 10 days to the Division of Drug Control at the specified address.
7. List all items to be destroyed in the designated fields, including dosage, quantity, drug name, strength, prescription pharmacy number, and resident ID.
8. Fill in the date on which the destruction occurs, and detail the method used for the destruction.
9. Indicate who performed the destruction by entering their name in the designated field and provide the name of the person witnessing the destruction.
10. Ensure to print the names of the individuals who destroyed and witnessed the process for accountability.
11. Review all entries for accuracy, as mistakes can lead to compliance issues. Once verified, you will have the option to save changes, download, print, or share the form as needed.

Complete the MD Controlled Dangerous Substance Destruction Report online today to ensure compliance and safety.