It's a New Day in Public Health.
The Florida Department of Health works to protect, promote & improve the health of all people in Florida through integrated state, county & community efforts.
Repository Application and Withdrawal Form
Patient Application and Dispensing Form
Destruction of Drugs Form
All forms must be signed, dated and submitted by the 5th of each month, even if the repository has no new donations, eligible patients or changes to inspection and storage. If there are no new donations, patients or inspection and storage information, please indicate “No information to report” on the form. Copies of:
- Each Patient Application and Dispensing Form
- Donation Forms
- Destruction of Drugs forms
- Transfer Forms
Questions may be sent to: PrescriptionDrugRepositoryProgram@FLHealth.gov. Please allow at least 24 hours for a response.