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1. Select your state
2. Select additional services
Select this option if you would like us to handle the upcoming renewal of a medical license.
Select this option for assistance with establishing a new DEA registration or to renew/modify an existing DEA registration.
Select this option if you are applying to a state that requires an FCVS profile. If you already have an FCVS Profile, enter your Packet ID in the field below. If you do not already have a profile established, we will establish one for you.
Select this option if you would like to have your application prepared and shipped to you within 8 business hours of completing this online form.
3. Enter contact information
4. Enter payment details