Physicians practicing in a federal or state facility that are required to obtain an individual DEA registration are exempt from paying the DEA registration fee (Section 1301.21 of Title 21, Exemption from fees). Please fill out the online application.
For house staff who receive mail in the UCLA Medical Center House Staff Mail Room, Room B711 RRUCLA Medical Center is to be used as the campus address. All others should use their department address.
Mark the box indicating 'Practitioner' and add 'M.D.' or D.D.S.' as appropriate.
Do NOT check the box for order forms. This is NOT for prescriptions.
To be completed by the applicant's program director or department chair.