Control Substance Inventory Michigan Form PDF Details

In the landscape of controlled substances regulation, meticulous record-keeping and compliance with legal requirements are paramount. Michigan stands out as a state with a comprehensive approach to managing controlled substances, especially through its Michigan State University Annual Controlled Substance Inventory Form. This form is a crucial tool for entities managing controlled substances within the state, necessitating a thorough inventory to be carried out between April 1 and June 30 each year. Its detailed format requires registrants to account for every controlled substance by specifying the DEA schedule, container type, quantity, volume, and concentration. This process is not just a state requirement but also aligns with the biennial inventory mandated by the DEA, making the form doubly significant. Significantly, each registered location must complete a separate annual inventory, underscoring the meticulous attention to detail needed in the management of controlled substances. The requirement for the inventory to be conducted at the start or end of a day, alongside the necessity for it to be verified by witnesses, further emphasizes the rigor of this regulatory process. By instructing entities to mail the completed form to the Bureau of Health Professions within the State of Michigan and to retain a signed copy at the licensed location, the procedure ensures transparency and accountability in the handling of substances that have significant potential for abuse.

QuestionAnswer
Form NameControl Substance Inventory Michigan Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namescontrolled substance inventory log pdf, annual controlled substance inventory form, mi state annual controlled substance inventory, controlled substance inventory form

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Michigan State University

Annual Controlled Substance Inventory Form

Inventory must be performed between April 1 and June 30 of each year. A separate annual inventory is required for each registered location. Mail to: State of Michigan, Bureau of Health ProfessionsHealth and Regulatory Division, Annual Inventory, 6546 Mercantile Way, Suite 2, P.O. Box 30454, Lansing, MI 48909. Retain a signed and completed copy of this form at the licensed location. The completed form can serve as the biennial inventory required by the DEA.

Date:

Start of day

End of day

MI Licensee/DEA Registrant Name:

MI Licensee/DEA Registrant Address:

DEA Registration #:

State of MI Controlled Substance ID #:

DEA Schedule*

Controlled Substance

Container Unit Type (Vial, syringe, patch, etc.)

Container Quantity

Container Volume

Concentration

*Schedule I and II controlled substances must be separated from all other substances or places on a separate form.

Inventory performed by: _________________________________

____________________________________________

Print Name

Signature

Inventory witnessed by: _________________________________

____________________________________________

Print Name

Signature

 

Page: ___ of_ __

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