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Frequently Asked Questions (FAQs)

   Question: How do I apply for a new Controlled Substances Registration (CSR)?

Answer: See instructions for submitting an application for a new CSR. Following are some helpful tips:

  • You are required to register the address of your Texas practice. If you register at a location other than your practice, you must include an explanation. Be advised that registration addresses are made available on the DPS website.
  • If exempt, a Certificate of Exemption From Fee (PDF) must be submitted with the application.
  • If you are a Mid-Level Practitioner (APN or PA), use the appropriate application, NAR-77B-78B. The supervising physician(s) must be listed with the Texas Medical Board (TMB) as having prescriptive authority and a “YES” for controlled substances. The physician must sign and complete the appropriate information when applying for a new application and at each renewal period.

   Question: How do I renew a Controlled Substances Registration?

Answer: See instructions for submitting an application to renew a CSR. Following are some helpful tips:

The renewal application form may be downloaded from Forms.

Following are some helpful tips:

  • You are required to register the address from your Texas practice. If you register at a location other than your practice, you must include an explanation. Be advised that registration addresses are made available on the DPS website.
  • If you are a Mid-Level Practitioner (APN or PA), use the appropriate application, NAR-77B-78B. The supervising physician(s) must be listed with TMB as having prescriptive authority and a “YES” for controlled substances. The physician must sign and complete the appropriate information when applying for a new application and at each renewal period.
  • If claiming exemption for the first time, a Certificate of Exemption From Fee (PDF) must be submitted with the application.

   Question: When are renewal notifications mailed out?

Answer: Renewal notice postcards are mailed approximately 90 days prior to the expiration date to the address on file.


   Question: How do I change my address or name?

Answer: A letter or modification form must be submitted and the registrant’s signature is required. A name change must be made with the appropriate board before the CSR can be changed.


   Question: How do I add or Delete supervising physicians?

Answer: ADD: A Modification Form must be submitted and have the registrant’s and supervising physician’s signature. The supervising physician(s) must be listed with TMB, as having prescriptive authority, and a “YES” for controlled substances.

DELETE: A letter of termination may be submitted by the Mid-Level Practitioner or the Supervising Physician.


   Question: May a Mid-Level Practitioner register for Schedule 2 and 2N drugs?

Answer: Yes.  Senate Bill 406 which was effective Nov. 1, 2013, allows Mid-Level Practitioners to add Schedule 2 and 2N.  To add these schedules, a modification form must be completed and the supervising physician must sign and indicate the authorized schedules.