The Texas Nar 115 form is a document used for the modification of registration under the Texas Controlled Substances Act. It is essential for Emergency Medical Services (EMS) providers to update their registration information, particularly regarding their Medical Director. Accurate completion of this form ensures compliance with state regulations and facilitates the proper handling of controlled substances.
To fill out the Texas Nar 115 form, click the button below.
When filling out the Texas Nar 115 form, it's crucial to be thorough and accurate. Here are some important dos and don’ts to keep in mind:
By following these guidelines, you can help ensure a smooth and efficient registration process.
Modification of Registration-EMS
under
Texas Controlled Substances Act
EMS Registration Information
___________________
______________________
DPS Number
DEA Number
DSHS Board License Number
Old Information(Medical Director)
______________________________________________________________________________________
Name (Last, First, Middle)
Degree
TX Medical Board # Personal DPS Number
_________________________________________________________________
EMS Business Address
City, State, Zip
New Information(Medical Director)
Name (Last, First, Middle)Degree TX Medical Board # Personal DPS Number
EMS Business Address (Cannot accept a PO Box number only)
Drug Schedules (Check all applicable) (2) Schedule II
(2N) Schedule II-Non-Narcotic
(3) Schedule III
(3N) Schedule III-Non-Narcotic
(4) Schedule IV
(5) Schedule V
Signature
__________________________
(
)_____________
_____________________
Signature of Medical Director
Phone Number
Date
Signature of EMS Admin.
Notice: Signature of applicants certifies that the above information is current and correct. Signature of applicant further grants the director or his designee the right to inspect controlled premises or records to be kept by the Texas Controlled Substances Act of 1973.
Return to: Controlled Substances Registration MSC-0438, PO Box 4087, Austin, Texas, 78773-0438 Or fax to 512/424-5799
NAR-115 (5/10)
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The Texas Nar 115 form is essential for modifying registration under the Texas Controlled Substances Act. However, several other forms and documents are commonly used alongside it to ensure compliance with state regulations. Below is a list of these documents, along with brief descriptions of each.
Using these documents in conjunction with the Texas Nar 115 form helps ensure that all legal requirements are met when handling controlled substances in Texas. Proper documentation is crucial for maintaining compliance and promoting safety within the healthcare system.
Filling out the Texas NAR 115 form can be straightforward, but there are common mistakes that applicants often make. One major error is failing to provide complete information. Each section of the form requires specific details, such as the name and license numbers of the medical director. Omitting any of this information can delay the processing of the application.
Another frequent mistake is using a P.O. Box for the EMS business address. The form explicitly states that only a physical address is acceptable. Submitting a P.O. Box can lead to rejection of the application, as it does not meet the requirements outlined in the form.
Additionally, applicants sometimes neglect to check the appropriate drug schedules. It’s important to carefully review and mark all applicable schedules, as this directly impacts the registration. Incorrectly indicating the drug schedules can lead to complications down the line, including potential legal issues.
Lastly, signatures can be a point of confusion. Both the medical director and the EMS administrator must sign the form. Failing to include one of these signatures can result in the application being incomplete. Always double-check that all required signatures are present before submitting the form.
The Texas Nar 115 form is often misunderstood. Below are ten common misconceptions regarding this form.
When filling out and using the Texas Nar 115 form, it is essential to keep the following key points in mind:
Completing this form accurately is crucial for compliance with the Texas Controlled Substances Act. Delays or errors can lead to significant issues in registration and operational capacity.
Once you have gathered the necessary information, you can begin filling out the Texas Nar 115 form. Make sure to provide accurate details, as this information is crucial for your registration modification. Follow these steps carefully to complete the form.
Once completed, send the form to the designated address or fax it as instructed. This ensures that your registration modification is processed smoothly.