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Controlled Substances Registration Forms

The Application for Registration/Renewal and Certificate of Exemption From Fee forms (if applicable) must be submitted together by mail. Please note that the Application for Registration form may be submitted for both new applications and renewals. If submitting a renewal, please mark the form appropriately as a renewal and include the current CSR number. A $25 registration fee will be required for the initial issuance of the registration and for each subsequent renewal. Payment can be made with either money order or check made payable to TX DPS. If the renewal is received after the expiration date, an additional $50 late fee will be due at the time of application. Renewals will be accepted no more than 90 days prior to expiration. If a renewal is received too early it will be returned.

Senate Bill 195 (84th Legislative Session), eliminates the requirement for a practitioner to have a Controlled Substances Registration with the state of Texas, effective Sept. 1, 2016. To implement this change, all active/current Controlled Substances Registrations (CSR) will automatically be renewed on Aug. 20, 2015, and will expire on Aug. 31, 2016. New certificates will not be mailed with automatic renewals. CSR’s may be verified by visiting the CSR Search & Verification System.

The above change will not apply to registrations that expired on or before July 31, 2015. To renew an expired CSR, practitioners must submit a renewal application and pay the $25 renewal fee and $50 late fee.

New/original registrations will continue to be accepted and processed. New registrations issued after Aug. 20, 2015, will expire Aug. 31, 2016. The completed application and $25 processing fee must be mailed to the address provided on the webpage. Fees will not be prorated.

Physician Assistant/Advanced Practice Nurse

Prior to registration or renewal your supervising/delegating physician must be listed with the Texas Medical Board as giving you prescriptive authority for controlled substances.  The information must reflect an approval date and “yes” must be indicated for controlled substances as well as delegating prescriptive authority. 

Emergency Medical Services (EMS)

EMS may use the Application for Registration/Renewal for Practitioners with additional information.  Signature of the EMS administrator, as listed with Texas DSHS, may sign in the space for “Signature of Applicant.”  The Medical Director’s signature, CSR number and Board license number are required.  This can be added at the bottom of the form.

The Modification of Registration - EMS form may be used to include the current information for the DSHS listed Administrator and Medical Director as recorded on the DSHS website.

Pharmacy

Pharmacies will use the same application as practitioners.  The fields for name, DOB and SSN may be left blank.  Indicate the name of the Pharmacy in the address information area.

The Modification of Registration and Report of Theft, Loss or Surrender of Controlled Substances forms listed below must be signed by the registrant. The completed form may be scanned and emailed via send a secured email or faxed to (512) 424-5799.

Precursor Chemical / Laboratory Apparatus Forms

Texas Prescription Program Forms

Multi-County Drug Task Force Application (NAR-122) 
This form is for use by law enforcement agencies seeking to create a new multi-county drug task force.