Home
Forms Library
PLA: Practitioner Controlled Substances Registration Application

PLA: Practitioner Controlled Substances Registration Application 2025

PLA: Practitioner Controlled Substances Registration Application Preview on Page 1

Show details

4.4 out of 5

41 votes

The document is an application form for Indiana Controlled Substances Registration (CSR) for practitioners, detailing the application process, fees, and requirements. It includes instructions for submission, necessary disclosures such as Social Security Number, and questions regarding compliance with controlled substances regulations. Practitioners must also provide proof of continuing education in opioid prescribing if they hold a license in Indiana.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

The best way to change PLA: Practitioner Controlled Substances Registration Application online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

With DocHub, making adjustments to your paperwork requires only some simple clicks. Make these fast steps to change the PDF PLA: Practitioner Controlled Substances Registration Application online for free:

Register and log in to your account. Log in to the editor with your credentials or click on Create free account to examine the tool’s functionality.
Add the PLA: Practitioner Controlled Substances Registration Application for editing. Click on the New Document button above, then drag and drop the sample to the upload area, import it from the cloud, or using a link.
Alter your file. Make any adjustments required: insert text and photos to your PLA: Practitioner Controlled Substances Registration Application, highlight important details, remove sections of content and replace them with new ones, and insert symbols, checkmarks, and areas for filling out.
Finish redacting the template. Save the updated document on your device, export it to the cloud, print it right from the editor, or share it with all the parties involved.

Our editor is super easy to use and efficient. Try it out now!

See more PLA: Practitioner Controlled Substances Registration Application versions

We've got more versions of the PLA: Practitioner Controlled Substances Registration Application form. Select the right PLA: Practitioner Controlled Substances Registration Application version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2023	4.4 Satisfied (41 Votes)
2016	4.9 Satisfied (31 Votes)
2015	4 Satisfied (45 Votes)
1997	4 Satisfied (48 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Who is required to register with the DEA?

In the United States, physiciansas well as nurse practitioners (NPs) and physician assistants (PAs), depending on where they practiceoften prescribe controlled substances to patients who have a medical need. A DEA license is integral to this process.

Does every doctor need a DEA license?

Under the Controlled Substances Act (CSA), any practitioner prescribing, dispensing or administering CDS must have a valid DEA number. However, a DEA Number is not needed if the provider only prescribes Non-Controlled Substance.

Can nurse practitioners prescribe controlled substances in Indiana?

Indianas Nurse Practitioner Prescribing Laws NPs must work within a collaborative arrangement with a physician in order to prescribe. Within this agreement, state law allows nurse practitioners to prescribe Schedule II to V controlled substances.

What do you need for DEA registration for individual practitioners?

If you are applying for an Individual Registration (Practitioner, MLP, Researcher) you are required to provide your Full Name, Address, Social Security Number, and Phone Number. If you are applying for a Business Registration, you are required to provide the Name of the Business, Address, Tax ID, and Phone Number.

Who is exempt from DEA registration?

Federal, state and local government officials, including those in the public health laboratories, are exempt from the DEA registration fee. Note: Contractor-operated institutions are not exempt from the fee.

What medications require a DEA number?

Examples of controlled substances include opioids, benzodiazepines, and stimulants. The Drug Enforcement Administration (DEA) assigns identifying numbers to doctors to monitor and manage the distribution of dangerous substances.

How to get a CDS certificate?

How to obtain a CDS license? Step 1: Determine the requirements in their state. Step 2: Complete the necessary education and training. Step 3: Obtain the necessary documentation. Step 4: Apply for the license. Step 5: Maintain compliance with state and federal laws.

How to get a DEA waiver?

In order for DEA to consider a request for a fee waiver, the requester must demonstrate in writing how disclosure of the requested information is in the public interest because it is likely to contribute significantly to public understanding of the operations or activities of the government and is not primarily in the

PLA: Practitioner Controlled Substances Registration Application 2025

Here's how it works

The best way to change PLA: Practitioner Controlled Substances Registration Application online