Get S.c. Dhec: Verification Of State Controlled Substances...

This guide provides clear instructions for users on filling out the S.C. DHEC: Verification Of State Controlled Substances form online. Following these steps will help ensure that your address change request is submitted accurately and efficiently.

Follow the steps to complete your address change request.

1. Select the ‘Get Form’ button to obtain the address change request form and open it in your chosen online editor. This will allow you to access and fill out the form electronically.
2. Begin by entering your SC Controlled Substances Registration Number in the designated field. This number is critical for associating your request with your existing registration.
3. Input your Federal DEA Registration Number. This is required for identification purposes and to ensure compliance with federal regulations.
4. Fill in your name as the registrant. Ensure that the spelling matches your current registration records to avoid any discrepancies.
5. Clearly state the address as it appears on your current certificate. This helps verify your existing status.
6. Provide your new address, ensuring it is specifically for the practice location only. Double-check the accuracy to prevent future issues.
7. If applicable, enter the name of your new supervising physician. This step is specifically for Advanced Practice Registered Nurses and Physician Assistants.
8. Input your new telephone number for any communication regarding your address change.
9. State the relocation date, which indicates when the address change will take effect.
10. Include the last four digits of your FEIN or Social Security number if required for the online renewal process.
11. Sign and date the form to confirm the information is accurate and complete. The signature of the registrant is essential for processing the request.
12. Once all fields are completed, save your changes. You may then download, print, or share the filled form as necessary.

Complete your address change request online today to ensure a smooth transition.