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Publications > Manuals > Narcotic Treatment Programs Best Practice Guideline > Appendix B - Form 41
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Narcotic Treatment Programs
Best Practice Guideline

APPENDIX B

First page of the Registrants Inventory of Drugs Surrendered form.

To obtain a copy of the form, click on the image above to 
locate a Diversion Field Office nearest you.

Back of Form

 

Second page of the Registrants Inventory of Drugs Surrendered form.

To obtain a copy of the form, click on the image above to 
locate a Diversion Field Office nearest you.

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