This is a legal form that was released by the New York State Department of Health - a government authority operating within New York. Check the official instructions before completing and submitting the form.
Q: What is Form DOH-166?
A: Form DOH-166 is the Controlled Substance Inventory Form used in New York.
Q: Who uses Form DOH-166?
A: Healthcare facilities and practitioners who possess controlled substances in New York use Form DOH-166.
Q: What is the purpose of Form DOH-166?
A: The purpose of Form DOH-166 is to document the inventory of controlled substances held by healthcare facilities and practitioners in New York.
Q: How often should Form DOH-166 be completed?
A: Form DOH-166 should be completed annually.
Q: What information is required on Form DOH-166?
A: Form DOH-166 requires information such as the name and address of the facility/practitioner, DEA registration number, and an itemized list of each controlled substance in stock.
Q: Do I need to keep a copy of Form DOH-166?
A: Yes, a copy of Form DOH-166 should be retained by the facility/practitioner for at least three years.
Form Details:
Download a fillable version of Form DOH-166 by clicking the link below or browse more documents and templates provided by the New York State Department of Health.