Get Texas Nar 115 Form

When filling out the Texas Nar 115 form, it is crucial to follow specific guidelines to ensure accuracy and compliance. Here are seven things you should and shouldn't do:

• Do provide accurate and complete information for both the old and new Medical Director sections.
• Don't use a PO Box for the EMS business address; a physical address is required.
• Do check all applicable drug schedules carefully to ensure compliance.
• Don't leave any required fields blank; all sections must be filled out.
• Do sign and date the form in the designated areas to validate your submission.
• Don't forget to include your contact phone number; this is essential for communication.
• Do return the form to the correct address or fax number provided to avoid delays.

1. What is the Texas Nar 115 form?

   The Texas Nar 115 form is a document used for the modification of registration under the Texas Controlled Substances Act. It is specifically designed for Emergency Medical Services (EMS) and allows for updates to the registration information, including changes to the medical director or business address.

2. Who needs to fill out the Texas Nar 115 form?

   This form must be completed by EMS organizations that need to update their registration information. This includes changes to the medical director’s details or the EMS business address. If your organization has undergone any changes in these areas, it is important to submit this form.

3. What information is required on the form?

   The Texas Nar 115 form requires several key pieces of information:

   • DPS Number
   • DEA Number
   • DSHS Board License Number
   • Old and new medical director's name, degree, and Texas Medical Board number
   • EMS business address (cannot be a P.O. Box)
   • Drug schedules applicable to the EMS organization

4. How do I submit the Texas Nar 115 form?

   You can submit the completed form by mailing it to the following address:

   Controlled Substances Registration MSC-0438
   PO Box 4087
   Austin, Texas, 78773-0438

   Alternatively, you can fax it to 512/424-5799.

5. Is there a deadline for submitting the form?

6. What happens if I don’t submit the form?

   Failure to submit the Texas Nar 115 form when changes occur can lead to non-compliance with the Texas Controlled Substances Act. This may result in penalties, including fines or the suspension of your EMS registration, affecting your organization’s ability to operate legally.

7. What should I do if I have questions while filling out the form?

   If you have questions while completing the Texas Nar 115 form, it is best to contact the Texas Department of State Health Services or the appropriate regulatory body. They can provide guidance and clarify any uncertainties you may have regarding the form or the registration process.

8. Can I make changes to the form after submission?

   Once the Texas Nar 115 form is submitted, any further changes will require the submission of a new form. It is important to ensure that all information is accurate and complete before sending it to avoid additional paperwork.

9. What is the significance of the signatures on the form?

   The signatures on the Texas Nar 115 form certify that the information provided is accurate and current. By signing, the medical director and EMS administrator grant permission for the director or their designee to inspect controlled premises or records, as required by law.

How to Use Texas Nar 115

Completing the Texas Nar 115 form is an essential step for those seeking to modify their EMS registration under the Texas Controlled Substances Act. Following the steps carefully will ensure that all necessary information is accurately submitted, facilitating a smooth processing experience.

1. Begin by locating the Texas Nar 115 form. Ensure you have the most recent version.
2. Fill in the EMS Registration Information section at the top. Include your DPS Number, DEA Number, and DSHS Board License Number.
3. In the Old Information section, provide the name of the current Medical Director. Include their last, first, and middle names, degree, Texas Medical Board number, and personal DPS number.
4. Next, fill in the EMS Business Address for the old Medical Director. Ensure you include the complete address, city, state, and zip code.
5. Move to the New Information section. Here, enter the name of the new Medical Director in the same format as before.
6. Provide the new Medical Director's degree, Texas Medical Board number, and personal DPS number.
7. Fill in the EMS Business Address for the new Medical Director. Remember, a PO Box number cannot be accepted.
8. Check all applicable drug schedules. Options include Schedule II, Schedule II-Non-Narcotic, Schedule III, Schedule III-Non-Narcotic, Schedule IV, and Schedule V.
9. Obtain signatures from both the new Medical Director and the EMS Administrator. Include their phone numbers and the date of signing.
10. Review the form for accuracy. Ensure all information is current and correct.
11. Submit the completed form by mailing it to the address provided or faxing it to the designated number.

Filling out the Texas NAR 115 form can be a straightforward process, but several common mistakes may lead to delays or complications. One frequent error is failing to provide complete and accurate information in the required fields. Each section must be filled out thoroughly. Missing information, such as the name of the medical director or the EMS business address, can result in the form being returned.

Another mistake is not using the correct format for the address. The form specifically states that a P.O. Box cannot be used as the sole address. Providing a P.O. Box without a physical address may lead to rejection of the application. It is essential to ensure that the EMS business address includes the street address, city, state, and zip code.

People often overlook the importance of checking the appropriate drug schedules. The form requires applicants to check all applicable drug schedules. Failing to do so can lead to misunderstandings regarding the permissions granted under the registration. Ensure that all relevant schedules are marked clearly to avoid any confusion.

Signatures are another critical area where mistakes occur. The form requires the signatures of both the medical director and the EMS administrator. Omitting one or both signatures can halt the processing of the form. Each signature must also be accompanied by the corresponding phone number and date, which should not be neglected.

Additionally, applicants sometimes fail to double-check the accuracy of their personal DPS and DEA numbers. These numbers must be correct and current, as inaccuracies can lead to significant delays. It is advisable to verify these numbers before submission to ensure they match official records.

People may also misinterpret the instructions regarding the certification statement. The signature at the bottom certifies that the information provided is correct. Misunderstanding this requirement can lead to unintentional misinformation being submitted, which could have legal implications.

Another common error involves the submission method. Some applicants may not be aware that the form can be returned by fax or mail. Choosing the wrong submission method or failing to follow the specified guidelines can result in unnecessary delays in processing.

Lastly, individuals often forget to keep a copy of the submitted form for their records. Retaining a copy can be beneficial for future reference or in case any issues arise during processing. Keeping a personal record ensures that applicants can provide accurate information if contacted by the authorities.