Forms and Manuals

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Forms and Manuals

Please Note: All forms are in fillable Portable Document Format (PDF). You will need Adobe Acrobat Reader in order to view, fill out and print the forms.

Policy and Procedures Manual, CT PMP - rev. October 2016
Registration Manual, CPMRS - June 2016
User Support Manual, CPMRS - rev. September 2019
Communication Modules User Guide, CPMRS - September 2019
Communication Modules - Quick Start, CPMRS - September 2019
Quick Reference Guide - How to Run a Medical Marijuana Card Search - rev. February 2019

Prescriber:

Prescriber Report User Guide - October 2018\

Dispenser:

Data Submission Manual - rev. June 2019
Dispenser Waiver/Exemption Form - rev. October 2018

Archive:

Notification Letter to Pharmacies, mandatory reporting - April 2008
Notification Letter to Pharmacies, ASAP 4.1/2009 format - February 2011
Notification Letter to Pharmacies, weekly reporting - July 2013
Notification Letter to Practitioners, mandatory registration - July 2013
Notification Letter to Practitioners, mandatory registration follow-up - January 2014

Connecticut State Department of Consumer Protection

Forms and Manuals