Forms

Controlled Substances Act Forms: There are several forms available on the DPS web site regarding the Texas Controlled Substances Act, including:

• Modification of Registration - Practitioners (PDF)
• Modification of Registration - Physician Assistants and Advance Practice Nurses (PDF)
• Report of Theft, Loss, or Surrender of Controlled Substances (PDF)

Precursor Chemical/Laboratory Apparatus Forms: There are several forms available on the DPS web site regarding the Precursor Chemical Statute, including:

• Report of Theft, Loss, or Suspicious Order of Precursor Chemical/Laboratory Apparatus (PDF)
• Precursor Chemical/Laboratory Apparatus One-Time Permit Application (PDF)
• Precursor Chemical/Laboratory Apparatus Business Permit Application (PDF)

Texas Prescription Program Forms: There are several forms available on the DPS web site regarding the Texas Prescription Program, including:

• Doctor/Patient Request of Information (PDF)
• Request for Prescription Transmittal Forms (PDF)
• Prescription Information Transmittal Form (PDF)