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 Doh2340 2010

Nys Doh 4189 2010-2025 Form

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What is the NYS DOH Form 4189?

The NYS DOH Form 4189 is a crucial document used for the disposal of controlled substances in New York State. This form is specifically designed for healthcare providers and facilities to ensure compliant and safe disposal methods for narcotics and other regulated materials. By using this form, organizations can maintain adherence to state regulations while safeguarding public health and the environment.

How to Obtain the NYS DOH Form 4189

To obtain the NYS DOH Form 4189, individuals or organizations can visit the New York State Department of Health's official website. The form is typically available for download in PDF format, allowing users to print and fill it out as needed. It is essential to ensure that you are accessing the most current version of the form to comply with all regulations.

Steps to Complete the NYS DOH Form 4189

Completing the NYS DOH Form 4189 involves several key steps:

  • Gather necessary information about the controlled substances to be disposed of, including quantities and types.
  • Fill out the form accurately, ensuring all required fields are completed.
  • Sign and date the form, confirming that all information is correct and truthful.
  • Submit the completed form according to the instructions provided, either online or by mail.

Legal Use of the NYS DOH Form 4189

The legal use of the NYS DOH Form 4189 is governed by state regulations regarding the disposal of controlled substances. It is essential for healthcare providers to understand these regulations to avoid penalties and ensure compliance. The form serves as a legal document that provides a record of the disposal process, which is crucial for audits and inspections.

Key Elements of the NYS DOH Form 4189

Key elements of the NYS DOH Form 4189 include:

  • Identification of the disposal site and responsible party.
  • Details of the controlled substances being disposed of, including their classification.
  • Signature of the authorized individual overseeing the disposal process.
  • Date of disposal to maintain a clear timeline for records.

Form Submission Methods

The NYS DOH Form 4189 can be submitted through various methods, ensuring flexibility for users. Common submission options include:

  • Online submission via the New York State Department of Health's designated portal.
  • Mailing the completed form to the appropriate state office.
  • In-person submission at designated health department locations.

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