SAMHSA DATA Waiver

Buprenorphine Waiver Notification

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Before you begin

Before starting this application, please make sure you have

Your DEA Number
Your State Medical License Number
Your Training Certificate Information

Do you work for the US military, Veterans Administration, or Indian Health Service?

Yes No

For more information, contact the SAMHSA Center for Substance Abuse Treatment's (CSAT's) Buprenorphine Information Center at 866-BUP-CSAT (866-287-2728) or send an email to info@buprenorphine.samhsa.gov.