To upload your document enter your State of Ohio Board of Pharmacy license number in
the box below,
select the document type from the drop down list below,
then select a PDF copy of your document utilizing the "Browse" button below.
This option is only for controlled substance destruction record uploads (DEA 41 Forms). For permission to destroy, please select Permission to Destroy Controlled Substances as the Document Type.
This option is only for Permission to Destroy Controlled Substances. For submission of DEA 41 Forms, please select Controlled Substance Destruction Record as the Document Type.
Having trouble uploading a PDF? Click here to use our PDF creator
EMS Request to Post Up at a Special Event Form
EMS Request for Satellite Record Storage at Headquarters Form
Guidance Document - Prescription Pick-up Station
Naloxone Notification Form
Off-Site Storage of Records Request
Permission to Destroy Controlled Substances Request
WDDD VAWD Accreditation Form