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LARA: Michigan Department of Licensing and Regulatory AffairsMichigan.gov: Official Web Site for the State of Michigan
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Michigan Automated Prescription System Program For

• Request for MAPS Report-Law Enforcement/Gov't Agency/Other PDF icon

• Request for MAPS Report-Practitioner/Pharmacist PDF icon

Licensing Forms and Applications

• Disciplinary Limited License Reclassification Application Packet PDF icon

• Suspended/Revoked License Reinstatement Application Packet PDF icon

• RENEWAL-License Renewal Application

• Data Change/Duplicate License Request Form PDF icon

Substance Abuse

• Substance Abuse Model Recipient Rights Policy and Procedures (LARA/SUB-503) PDF icon

• Substance Abuse Recipient Rights Complaint Form and Instructions (LARA/SUB-060 and LARA/SUB-504) PDF icon

• Substance Abuse Recipient Rights Investigation Report and Instructions (LARA/SUB-061 and LARA/SUB-505) PDF icon

• Substance Abuse License Change of Information Form (LARA/SUB-200) PDF icon

• How to Apply and Prepare for Licensure to Operate a Substance Abuse Program in Michigan (LARA/SUB-501) PDF icon

• Substance Abuse Change of Address (LARA/SUB-201) PDF icon

Allegation Forms

• Allegation Packet (Complaint Packet) PDF icon

• Report of Change In Staff Privileges PDF icon

• Citizen's Guide to Filing an Allegation PDF icon


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