State Opioid Treatment Authority > Methadone Chain of Custody Forms
Transfer of Medications and Custody Forms
CSAT has created these forms for your use when OMT medications have to be transported due to special circumstances. They are suited for patients who are in nursing homes, under hardship, incarcerated, homebound, medically compromised, remotely located, etc. Some are suited for licensed persons to transport the medication, while others can be used for a person designated by the patient and/or clinic.
Methadone Chain-Of-Custody Record Residential Treatment
Methadone Chain-Of-Custody Record
Methadone Chain-Of-Custody Record Incarcerated Patient
Methadone Chain-Of-Custody Record Medically Compromised Patient-Home Bound
Methadone Chain-Of-Custody Record Homebound Patient
Methadone Chain-Of-Custody Record Medically Compromised Due to Pregnancy
Methadone Chain-Of-Custody Record Patient in Nursing Home
Methadone Chain-Of-Custody Record Remote Supervision/Travel Hardship

