An individual may request a copy of their own prescription history report by completing and submitting a request form. All forms must be signed in the presence of a notary public and submitted to the PMP office by mail, fax or email for processing.
An individual may request a copy of their own prescription history report be sent to a third party by completing a request form. All forms must be signed in the presence of a notary public and submitted to the PMP office by mail, fax or email for processing.
Allows a recipient (patient) to request an audit of the searches performed under their name/ date of birth for the previous 12 months. All forms must be signed in the presence of a notary public and submitted to the PMP office by mail, fax or email for processing.
Law Enforcement officials may request data by completing and submitting a request form. Please include, with the completed request form, only the valid search warrant. Send to the PMP office by fax or email for processing. Please note: only previous 12 months of prescription data is retained for release.