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Medical Gas Dispenser


Renewal Information

Medical Gas Dispenser Renewals are due November 1 of each year, and license/registration expire December 1 of each year. Currently the renewal process is not an online process. All renewal applications must be completed and mailed or delivered to the Board. The address can be found on the application and website. Please note, a facility with a medical gas dispenser registration can only dispense legend medical gas to patients by prescription. Also note that a facility that holds a medical gas manufacturer or wholesaler license can dispense medical gases to patients without needing a separate medical gas dispenser registration.

All fees are non-refundable.

To avoid late fees, renewal applications, supporting documentation, and correct payment must be received as a complete packet by the Board, prior to the expiration date. Any payment received without an application will not be processed. Registrations are mailed to the facility’s physical address.

Renewal Application and Instructions

Medical Gas Dispenser Renewal Application


Forms

Application for a New Medical Gas Dispenser Registration

Change of Ownership Form
A change of ownership requires a change of ownership application to be submitted to the Board 30 days prior to the effective date of the change. A new registration is not issued for the change and there is not a fee.
The following are some examples of ownership changes that require you to report a change of ownership.
  • Sale to another individual;
  • Major stock change (if 20% or more of the stock changes hands since the incorporation);
  • Sole owner to partnership;
  • The addition of one or more partners to a partnership; or
  • One partner buying out the other partner.
Registration Closure Form
  • Submit this form 14 days prior the date the facility closes or surrenders their registration to conduct business in the state of Minnesota.
Facility Name Change Form
  • Name changes should be submitted 30 days prior to the change for facilities located in Minnesota. Non-resident facilities must report the name change of the facility on the notification form and include the license/registration issued by the home state regulatory agency showing the new facility name.
Relocation Form
  • Resident facilities (those facilities that are located in the state of Minnesota) must submit the relocation application to the Board a minimum of 30 days prior to the date that the physical relocation takes place. Non-resident facilities must submit a relocation application after their home state regulatory agency has issued a license showing the new address and an inspection has been conducted of the new location. In each case, a new registration is issued upon approval of the application. All application payments are non-refundable.

General Information

Laws and Rules Regarding Medical Gas Dispensers:
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