Edit, Download, and Sign the 7 Steps to Complete DEA Form 222 - Bound Tree Instructions
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How do I fill this out?
The DEA Form 222 must be filled out by following specific steps to ensure accuracy. This section will provide a quick overview of the steps involved. Detailed instructions can be found further down the page.
How to fill out the 7 Steps to Complete DEA Form 222 - Bound Tree Instructions?
1
Enter name, title, signature, and date in PART 1.
2
Specify package details and complete the last line in PART 1.
3
Enter business name and address in PART 2.
4
Do not write in PART 3 or PART 4; Bound Tree will complete these sections.
5
Make a copy of the completed form for your records.
Who needs the 7 Steps to Complete DEA Form 222 - Bound Tree Instructions?
1
Healthcare professionals ordering controlled substances.
2
Medical directors responsible for signing DEA forms.
3
Pharmacies purchasing Schedule I & II drugs.
4
Authorized agents acting on behalf of registrants.
5
Businesses needing a legal record of controlled substance orders.
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Click on the fields you need to edit and enter the required information.
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Verify the form and make a copy for your records.
What are the instructions for submitting this form?
Mail your completed DEA Form 222 via FedEx or UPS to the relevant Bound Tree Medical address. Make sure the original form is in the possession of the shipping distribution center before your order is shipped. For tracking purposes, it is recommended to send the form in a way that can be tracked.
What are the important dates for this form in 2024 and 2025?
Ensure that you complete and submit your DEA Form 222 in a timely manner for any orders needed in 2024 and 2025. Keep in mind the lead times required for processing and shipping.
What is the purpose of this form?
The purpose of the DEA Form 222 is to legally document the order of Schedule I & II controlled substances. It is used by healthcare professionals, pharmacies, and authorized agents to ensure the compliant and accurate procurement of these substances. Proper completion and submission of the form is crucial to meet federal regulations and avoid any legal or regulatory issues.
Tell me about this form and its components and fields line-by-line.
- 1. PART 1: Enter your name, title, signature, and date. Include the specifics of the package, number of packages, size, and name of the item.
- 2. PART 2: Enter your business name and address. Bound Tree Medical will complete the Supplier DEA Number.
- 3. PART 3: To be filled in by the first supplier if the order is endorsed to another supplier.
- 4. PART 4: To be filled in by Bound Tree Medical, including the National Drug Code, number shipped, and date shipped.
- 5. PART 5: Upon receipt of the controlled substances, enter the date and amount received.
What happens if I fail to submit this form?
Failure to submit the DEA Form 222 can result in legal and regulatory issues.
- Voided Form: Any form with errors will be voided and returned.
- Delayed Order: Failure to submit the form can delay the shipment of controlled substances.
- Non-compliance: Not submitting the form properly can lead to non-compliance with federal regulations.
How do I know when to use this form?
- 1. Healthcare Orders: When a healthcare professional needs to order controlled substances.
- 2. Pharmacy Procurement: When a pharmacy places an order for Schedule I & II drugs.
- 3. Authorized Agent Action: When an authorized agent on behalf of registrants orders controlled substances.
Frequently Asked Questions
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Use our digital signature tool to securely add your signature to the form.
Can I share the completed DEA Form 222 on PrintFriendly?
Yes, you can share the form via email or generate a shareable link.
What information do I need to provide in PART 1?
Enter your name, title, signature, date, and package details including the number of packages, size, and item name.
Who needs to complete this form?
Healthcare professionals, medical directors, pharmacies, authorized agents, and businesses ordering controlled substances.
What happens if I make an error on the form?
Any form with errors will be voided and returned. Ensure all information is accurate before submission.
Do I need to complete PART 3 and PART 4?
No, Bound Tree will complete these sections for you.
Where do I submit the completed DEA Form 222?
Mail the form via FedEx or UPS to the Bound Tree Medical address provided as the supplier information.
Can I track my submission?
Yes, it is recommended to send your form in a way that can be tracked.
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