Notification of Controlled Substances Registration or Renewal

Please submit this form when registrering initially or renewing a North Carolina or US DEA controlled substances registration.  This form is for notification only and is not a part of the state or federal registration process.  EH&S uses this information to provide assistance to laboratories using controlled substances.

Applicant Information

Date:      [None] Select a Date Delete the Date

Name:        Title:              

Phone:         Building:         

Storage Rooms(s):             Use Room(s):       

Registration Information

Application Type:           

Category:               

Type:           

Schedule to be used:

   

Registered User:

NC DHHS #:    

US DEA #:    

Non-Registered User: 

Once you have received your registration numbers, please contact Celeste Caskey at 716-1226 or send an email to lcaskey@wakehealth.edu and provide your name and numbers to finalize the process for your registration.  Thank you.

Comments or Questions:      

 

WFUHS Environmental Health and Safety Controlled Substances Notification Form      

 

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Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider.