Controlled Substance Database
Forms
- Controlled Substance Database Designee
- Affidavit of Practice for CSD Designee
- Proxy Disassociation Form
- Utah Controlled Substance Database Waiver of Daily Zero Reports
- Request for Individual Information from Controlled Substance Database Program (CSD)
- Security Agreement for Licensed Pharmacists with a Qualified Exemption
- 3rd Party Release Form (this MUST be on the requesting organization's letterhead)