Methadone Take-Home Bottles Chain-Of-Custody Record Form - Connecticut

Methadone Take-Home Bottles Chain-Of-Custody Record Form - Connecticut

Methadone Take-Home Bottles Chain-Of-Custody Record Form is a legal document that was released by the Connecticut Department of Mental Health & Addiction Services - a government authority operating within Connecticut.

FAQ

Q: What is a Methadone Take-Home Bottles Chain-Of-Custody Record Form?A: The Methadone Take-Home Bottles Chain-Of-Custody Record Form is a document used in Connecticut to track the transfer of methadone take-home bottles between the clinic and the patient.

Q: Why is the Chain-Of-Custody Record Form used?A: The Chain-Of-Custody Record Form is used to ensure the safe and proper handling of methadone take-home bottles and to maintain accountability and prevent diversion.

Q: Who uses the Chain-Of-Custody Record Form?A: The Chain-Of-Custody Record Form is used by methadone clinics in Connecticut and their patients.

Q: What information is included in the Chain-Of-Custody Record Form?A: The form includes details such as the patient's name, date and time of transfer, bottle numbers, signatures of the transferring and receiving parties, and any additional notes or comments.

Q: Is the Chain-Of-Custody Record Form required by law?A: Yes, methadone clinics in Connecticut are required by law to use the Chain-Of-Custody Record Form for tracking the transfer of take-home bottles.

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Form Details:

  • The latest edition currently provided by the Connecticut Department of Mental Health & Addiction Services;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Connecticut Department of Mental Health & Addiction Services.

Download Methadone Take-Home Bottles Chain-Of-Custody Record Form - Connecticut

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