How to Utilize the Security Portal to Access PDMP

Transcription

How to Utilize the Security Portal to Access PDMP
(User Guide for Practitioners,
Pharmacists, CRNPs, Physician Assistants, Law
Enforcement, and CNMs)
July 30, 2014
Version 2
Software Release Version 3.4.11
How to Utilize the Security Portal to Access PDMP (User Guide for Practitioners, Pharmacists,
CRNPs, Physician Assistants, Law Enforcement, and CNMs)
Table of Contents
How to Access PDMP via the ADPH Security Portal................................................................................................................................................... 3
How to Create an Account (Practitioner)................................................................................................................................................................... 4
“Validate My License” Feature for Physicians ..................................................................................................................................................... 10
“Self Service Feature” .......................................................................................................................................................................................... 14
How to Add Additional Professional License Information ................................................................................................................................... 18
Printable Documents Menu Link ............................................................................................................................................................................. 23
How Physicians can Activate their Physician Delegates ...................................................................................................................................... 26
How to Create an Account (Physician Delegate) ..................................................................................................................................................... 28
How to Login to the ADPH Security Portal ............................................................................................................................................................... 34
Username/Password Recovery ................................................................................................................................................................................ 37
How to Change Your Password ................................................................................................................................................................................ 41
How to Update Your Account Information .............................................................................................................................................................. 43
How to Utilize the New “Printable Document” Menu Item .................................................................................................................................... 49
Applicable to Security Portal Unapproved Users of the PDMP-Controlled Substance Database........................................................................ 49
Applicable to Security Portal Users Who Are Approved Users of the PDMP-Controlled Substance Database................................................... 51
How to Contact us if you have Questions ................................................................................................................................................................ 53
Appendix .................................................................................................................................................................................................................. 55
Database Access Request Forms.......................................................................................................................................................................... 55
How do I locate my license type? ........................................................................................................................................................................ 67
Page 2 of 68
How to Access PDMP via the ADPH Security Portal
The purpose of this documentation is to assist users with accessing and utilizing
the “Prescription Drug Monitoring Program” (PDMP) – Controlled Substance
Database via the “ADPH Security Portal.”
This user guide is specifically written for the following PDMP users:
Practitioners, Pharmacists, Physician Assistants (PA), Certified Registered Nurse
Practitioners (CRNP), Physician Delegates, Law Enforcement, and Certified Nurse
Midwives (CNM.)
The ADPH Security Portal can be accessed directly by entering the following URL
into the web address bar:
https://dph.state.al.us/adphsec/Login.aspx
Before:
The page will redirect to the “ADPH Security Portal,” and in the process it will
generate encryption within the URL.
Please note that if you are going to bookmark the “ADPH Security Portal” or add it
to your Favorites, you must first take out the encrypted portion of the URL.
To do so, place your cursor in the web address bar just to the left of the “L” in
“Login.” Now, backspace until you have removed the letter and number
combination (encrypted portion of the URL). You can stop backspacing when you
reach “adphsec /”.
Only the following part of the URL should remain in your web address bar when
you add the Security Portal to your Internet Explorer “Favorites”:
Page 3 of 68
After:
How to Create an Account (Practitioner)
If you do not have an existing account, click
the “Create an Account” link on the “ADPH
Security Portal Login” page, located within
the “I want to…” section.
You will be directed to the “New User
Request” page.
Page 4 of 68
This first page contains six different sections. These are:
“Select Applications to Request Access,” “Name,”
“Employment,” “Supervisor,” “State Employees,” and
“Username/Password.”
All of the fields that are highlighted in yellow are the standard
required fields. These are the fields that must be completed
before the page can be submitted.
Page 5 of 68
Begin by placing a checkmark to the left of “PDMP – Controlled
Substance Database” within the “Select Applications To
Request Access” section.
Once you click the “PDMP – Controlled Substance Database”
checkbox, a series of application types will appear.
You will need to “Choose a PDMP application type” that
corresponds with your discipline.
The “Practitioner” application type will be described in this
portion of the document.
Page 6 of 68
When you “Choose a PDMP application type,” a “PDMP Privacy
Agreement/Memorandum of Understanding” will appear on
the “Step 1” of the “Create An Account” page. In order to
proceed to “Step 2,” you must place a check in the box
indicating that you have read and agree to the “PDMP Privacy
& Identity Agreement.”
Next, all PDMP users must complete the fields located within
the “Name” section.
Begin by entering your “Professional Title,” followed by your
“First Name” and your “Last Name.”
Page 7 of 68
Then, all PDMP users must complete the “Employment”
section fields.
First, enter your “e-mail Address.” (It is highly
recommended that you add an e-mail address that is not
shared, because the System only accepts unique e-mail
addresses.)
Now, enter your “Address,” “City,” “State,” “Zip”,
“Phone Number,” and “Fax Number.”
The fields located within the “Supervisor” section are not
required unless they are highlighted.
Page 8 of 68
You are also required to complete all of the fields in the
section that is specific to your PDMP Application Type.
This example shows the “PDMP - Practitioner”
application type section.
All fields are required in this section. First, enter the
last four digits of your social security number (“Last 4 of
SSN”). Next, either enter your “Date of Birth” or select
it using the Calendar icon. Now, you will need to select
your “Discipline” from the series of radio buttons.
Here, you will need to specify what type of
“Practitioner” you are: “Physician,” “Dentist,”
“Veterinarian,” “Optometrist,” or “Podiatrist.”
If you are a “Physician,” indicate your license type:
“MD” or “DO.”
(The default selected value for the Physician’s Discipline
License Type is “MD.”)
The BME Validation Scenarios listed on the next page
only apply to Practitioners who are Physicians.
Page 9 of 68
“Validate My License” Feature for Physicians
Example 1: Valid/Active State Board License
Number:
Enter your “State Board Lic #” in the field
provided.
(The Security Portal validates the “State
Board Lic #” according to whether or not the
license belongs with the “First Name” and
“Last Name” entered in the “Name” section,
and the License Type selected:
“MD” or “DO.”)
Assuming that you accurately enter your
Active “State Board Lic #,”
you will receive the following validation
message:
 “State Board License match found.”
 “ACS certificate found.”
If your license is valid/active & you do not
receive the above messages, you will need
to check to see if you have made any data
entry errors. If data entry errors are
present, make the necessary corrections so
that the page will refresh and update the
validation messages.
Page 10 of 68
Example 2: Inactive State Board License
Number:
If you enter your “State Board Lic #” in the
field provided, and your license status is
“Inactive,” you will receive the following
messages:
 “A match on name, license type, and
number could not be found;
however, you can still add the
license number. This message is for
informational purposes only.”
 “An ACS certificate could not be
found. This message is for
informational purposes only.”
As stated in the message, you can still add
the “Inactive” license number. You will still
be able to “Proceed to Step 2” of “Creating A
New Account,” granted that you complete
the rest of the required fields on the “Step
1” page.
Next you will need to enter your DEA #.
Then enter your “Facility Name.”
(If N/A, enter your name.)
Complete the “PDMP-Practitioner” section
by entering your “Facility E-mail”.
Page 11 of 68
See the appendix for specific
information on the following “PDMP
discipline types”: Practitioner, Certified
Registered Nurse Practitioner (CRNP),
Certified Nurse Midwife (CNM),
Physician Assistant (PA), Pharmacist, &
Law Enforcement.
Indicate whether or not you are a State
employee in either ADPH or Medicaid.
The default value is “No.”
Page 12 of 68
The final section in Step 1 of creating a
new Security Portal account is the
“Username/Password” section.
First, create a unique “username.” Your
username must be at least 3 and may be
no more than 20 characters in length.
The system will not accept a duplicate
username. If your username is accepted,
you will see the following message
appear:
“This username is available!”
Second, enter a password. The
minimum password requirements are
listed to the right of the username and
password fields.
After you have entered your password a
word/phrase will appear indicating the
strength of the password that you have
chosen. Create a password with
strength of “Strong” or “Excellent.”
Next, confirm your password by entering
it into the field beneath password. Click
the “Proceed to Step 2” button at the
bottom of the page.
Page 13 of 68
“Self Service Feature”
Step 2 of the Create a New Account page
contains three sections. These are:
“Self Service,” “Licenses,” and “LCMS
Account.”
The purpose of the “Self Service” section
is to assist you with resetting or
recovering data from your account, such
as your username and password.
The “Self Service” feature enables you to
select three Security Questions from drop
down lists and provide responses for each
question. You may not “Proceed to Step
3” without completing the Security
Question section.
Although it is not required, you may also
choose to enter your “Personal Email,”
and/or complete the “Text SMS” section.
The e-mail and mobile number will ONLY
be used to reset or recover data from
your account.
Page 14 of 68
The top screen capture in the right column
provides an example of a fully completed
“Self Service” section.
In the “Text SMS” section, you will need to
enter your mobile number, and select your
mobile carrier from the drop down list.
Then click "Send PIN."
A four digit PIN will be sent within 2 minutes
to your mobile device.
Enter the PIN you received in the PIN field to
validate your mobile number.
Then click the “Proceed to Step 3” button.
The bottom screen capture in the right
column shows an example of only the three
“Security Questions” in the “Self Service”
section as being completed. Here the user
has opted out of the “Self Service” personal
e-mail and Text SMS feature.
If you choose to opt out of “Self Service”,
please select the check box (in the gray box
beneath the Security Questions.) If you
choose to opt out, you will be required to call
ADPH in the event you cannot access your
account.
Page 15 of 68
Now, you have the option to include
additional Professional License information,
such as Funeral Director License Number,
Coroner Association Number, etc.
You cannot change a license number once
you have entered it. You must contact the
Application Administrator to have the license
changed.
Details on adding additional license
information can be found on page 18.
It is not necessary to complete the “LCMS
Account” section. This section provides a
means of linking your Security Portal account
with your existing LCMS (Learning Content
Management System) account. If you do not
have an existing LCMS Account, skip this
section.
If no other updates are necessary, click the
“Proceed to Step 3” button.
Page 16 of 68
Your web browser will redirect to a new page
with the following confirmation message,
“Your request has been submitted to the
application administrator for approval.”
Click the “Return to the Login Page” link.
Page 17 of 68
How to Add Additional Professional License Information
Now, you have the option to include
additional Professional License
information, such as Funeral Director
License Number, Coroner Association
Number, etc.
Please note that when you add your
license information during
“Step 1,” the “Step 2” “Licenses” grid will
auto-populate using the information that
you initially entered during “Step 1”.
In this example, I will click the “Other
License Types” options from the “License
Board” drop down list.
If you select the “License Board” option of
“Other License Types,” the “License Type”
drop down list will auto-populate with the
following options:
APOST Certification Number, Coroners
Association, DEA Number, Funeral Director
License Number, & QACSC Registration
Number.
Page 18 of 68
In this example, the “Coroners
Association” License Type option will be
selected.
Next, enter your License Number.
Then click the “Add License” button.
As a result, the table that contains the
licenses that you previously entered will
update to reflect the new license that was
just added.
Although you can add license information
during “Step 2” of creating a new account,
you cannot edit or delete your licenses in
the Security Portal.
You do however have the option of
changing which license is primary.
To change which license is saved as
“primary,” click the “Make Primary” link.
The check mark beneath the “Is primary
license” column will move accordingly.
Please know that only one license number
is required and kept for any license type.
You must contact the Application
Administrator or PDMP Support to change
a license number at 334-206-2625.
Page 19 of 68
E-mail Verification Message from the Security Portal
As soon as you complete the process of
creating a new account, the Security Portal will
automatically send two messages to the email
address that you entered in Step 1 of Create a
New Account.
Check your “Spam” folder if these e-mails do
not appear in your inbox. In the interim,
please add securityportal@adph.state.al.us to
your e-mail address book.
First, open the e-mail from the Security Portal.
Here you must click on the “E-mail Verification
Link” in order to access any of the Security
Portal’s applications.
Page 20 of 68
A confirmation message will appear once the
link is clicked.
The message indicates, “The account for this
example, Sam Sample, with the e-mail address
of: has been verified. You can now access
applications if the application administrator
has granted you permission.”
Also, a message from the “Prescription Drug
Monitoring Program” will appear in your email inbox.
Page 21 of 68
The e-mail from PDMP entitled “Thank you for
applying to access the Alabama controlled
substances database! PDMP Pending
Application” acknowledges that your online
Database Access Request Form was submitted
to the Prescription Drug Monitoring Program.
The e-mail suggests that you keep a copy of
the Database Access Request form.
Your PDMP database access request form can
also be accessed by clicking on the “Printable
Documents” Menu Link.
Page 22 of 68
Printable Documents Menu Link
Your PDMP “Printable Documents” page may
include links to the PDMP Database Access
Certificate, PDMP Database Access Request Form,
or PDMP Privacy Agreement.
You will not see the “Select” option next to
documents if they are not applicable to your type
of PDMP account.
For example, “ADPH” and “Medicaid” users would
not have a “Select” link next to the documents
listed on this page.
After clicking the “Select” link next to the “PDMP
Application” document name, you will be directed
to view and print your PDMP Access Request
Form.
Page 23 of 68
This page shows an example of
the “Practitioner Database
Access Request Form” pdf
generated by the System.
(Examples of other disciplines
are located in the Appendix.)
The Prescription Drug
Monitoring Program suggests
that you keep a copy of the
Database Access Request
Form for your records.
Page 24 of 68
Once your database access
request form is approved, you
will receive an approval
confirmation e-mail from the
ADPH security portal system.
Please be mindful that you
WILL NOT be able to access
the controlled substance
database until your database
access request form has been
signed and mailed to the
PDMP.
Page 25 of 68
How Physicians can Activate their Physician Delegates
The physician will
receive an email stating
that his or her delegate
has requested access to
the PDMP-Controlled
Substance Database.
When the physician logs
in and goes to “Update
My Info,” he or she has
the option to accept or
reject the delegate.
The physician will click
“Accept” and then
“Activate” to associate
the delegate with his or
her account. A check
will appear beneath the
“Active?” column.
To deny access to a
prospective delegate,
the physician should
click “Reject.” To
remove an existing
delegate, click “Remove
from my list.”
Page 26 of 68
Please know that a
physician cannot be his
or her own delegates.
Your delegate must
create his/her own
account in the Security
Portal.
Here is a sample e-mail
that the Physician will
receive when a
prospective physician
delegate requests
approval to access the
Controlled Substance
Database on behalf of
the physician.
Page 27 of 68
How to Create an Account (Physician Delegate)
Begin by placing a checkmark
to the left of “PDMP” within
the “Select Applications To
Request Access” section.
Once you click the “PDMP”
checkbox, a series of radio
buttons will appear.
Select the Physician Delegate
radio button.
Page 28 of 68
When you “Choose a PDMP
application type,” a “PDMP
Privacy
Agreement/Memorandum of
Understanding” will appear on
the “Step 1” of the “Create An
Account” page. In order to
proceed to “Step 2,” you must
place a check in the box
indicating that you have read
and agree to the “PDMP
Privacy & Identity
Agreement.”
Complete the “Name” section
by entering data into the
highlighted fields.
Page 29 of 68
Next, complete the
“Employment” information
section.
The supervisor section is
optional, unless the fields are
highlighted.
Next, complete the “PDMP
Physician Delegate” section.
Enter the physician’s name.
When you start to enter the
physician’s name, a drop down
list will appear.
Select the physician’s name
from the drop down list.
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Then click the “Add” button.
The physician’s name and
license number will appear.
A physician delegate can add
more than one physician to
his/her list.
Page 31 of 68
Next, enter a username and
password.
Then click the “Proceed to
Step 2” button.
Complete the process by
clicking the “Proceed to Step
3” button on the next page
Page 32 of 68
This is the “Delegate
Activation
Notification” email
that the physician
delegate will
receive.
Page 33 of 68
How to Login to the ADPH Security Portal
First, enter your username and password in the
“ADPH Security Portal Login” box on the “Login” page.
Then, click the “Login” button.
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After a successful login, if you have been
granted access, you will see a grid listing the
names of applications that are available. A
description of each application listed is
provided.
To access an application, click on the “Select”
link to the left of the application name. Your
browser will exit the “ADPH Security Portal” and
redirect to the application that you selected.
To demonstrate, hover over the “PDMP –
Controlled Substance Database” application
name. Notice that this row becomes
highlighted.
Next, click on the “PDMP –Controlled Substance
Database” “Select” link.
Your browser will redirect to the “PDMP Controlled Substance Database.”
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(If you have recently requested access to ADPH
Web application(s) and your request has not yet
been approved, you will see a different page.
This page will contain the following message,
“You do not have access to any ADPH Web
applications.”)
Page 36 of 68
Username/Password Recovery
First, click on the “username/password help” link in the
“Security Portal Login” box on the
“ADPH Security Portal” login page.
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Next, either click on the “I forgot
my password” link, or the “I
forgot my username” link on the
Username/Password Help page.
Please know that the steps for
“I forgot my password” are
identical to the steps for “I forgot
my username.”
When you click the “I forgot my
password” link on the
“Username/Password Help”
page, the appropriate
instructions will appear.
Next click the “here” link :
1. To create a new password, go
to the password reset page
“here” and enter your Name and
E-mail.
Page 38 of 68
You will be directed to the “User
Data” page. Here you will need to
enter your “First Name,” “Last
Name” and “e-mail Address” in
the fields provided.
Then, click the “Next” button.
On the page that follows, you are
required to answer two of the
three security questions that you
chose when you first created
your account.
Enter the “Answers,” and then
click the “Check Answers” button.
If the one or more of the answers
that you enter are incorrect, you
will receive an error message in
red at the bottom of the
“Security Questions” page.
If you see this “Invalid answer(s)”
error message, try again.
Page 39 of 68
If you enter the correct answers
on your second attempt, you will
be directed to the “Recovery”
page.
Here, you will need to select one
of the following options in
response to the question, “What
would you like to do?” :
 Recover username
 Reset password
 Both
Next, you will need to “Choose
method of recovery” by selecting
one of the options listed here.
Then click the “Submit” button.
A pop-up box “Message from
webpage” will appear on your
screen.
You will need to wait two
minutes, and check your device
to retrieve your username and/or
temporary password. If you
selected the “Both” option, you
will receive two separate
messages.
Page 40 of 68
How to Change Your Password
After logging in, click the “Change
Password” menu link.
Page 41 of 68
You will be directed to the
“Change Password” page.
Here, you will need to enter the
“New Password” that you have
chosen.
Then, reenter the new password in
the “Confirm Password” field.
Click the “Change Password”
button.
You will receive a “Forgot
Password Notification” that
indicates that you have changed
your password.
Page 42 of 68
How to Update Your Account Information
If you are an existing user who wants to update your
account information, return to the “ADPH Security Portal
Login” page, and enter your “username” and “password.”
Click the “Login” button.
The next page will list the applications that are accessible
to your account.
Click on the “Update My Info” link located in the menu
bar.
Page 43 of 68
You will be directed to the
“Update My Info” page.
On this page, you are able to request access
to additional ADPH applications. Do so by
placing a check mark to the left of the
application name.
Page 44 of 68
In this example, I am requesting access to
the “Meaningful Use” application.
This is in addition to the “PDMP – Controlled
Substance Database” that is already
accessible to my account.
Page 45 of 68
Next, you have the option of editing the
any of the fields that you entered in “Step
1” of Create an Account.
If you update your e-mail address and
submit your changes, you will receive an
e-mail verification message from the
ADPH Security Portal. You will need to
click the link contained in the email.
You also have the option of changing your
“Current Username.”
To do so, click on the “Yes” radio button,
and enter your new username.
When you are through updating your
user information, click the “Proceed to
Step 2” button to save your changes.
Page 46 of 68
Now, you have the option to
add your Professional License
information.
Again, although users can add
license information during
“Step 2” of the “New User
Request” page, they cannot
edit their license numbers.
Users must contact the
Application Administrator or
PDMP Support to change a
license number.
If no additions are necessary,
click the “Proceed to Step 3”
button.
Page 47 of 68
The next page contains the
following confirmation
message: “Your information
has been updated and any
application requests have
been submitted to the
application administrator for
approval.”
After updating your account
information, you will receive
an email like the one shown
here.
Click the “E-mail Verification
Link.”
Page 48 of 68
How to Utilize the New “Printable Document” Menu Item
Applicable to Security Portal Unapproved Users of the PDMP-Controlled Substance Database
After you have verified your e-mail address,
you will need to click the “Printable
Documents” menu link in order to obtain the
Database Access Request Form (.pdf).
This menu item is only available to PDMP
Security portal who meet the criteria for
having a controlled substance database
access request form.
Click the “select” link next to the “PDMP
Application” on the “Printable Documents”
page.
Page 49 of 68
Next, there will be several icons at the
bottom of the .pdf. There are icons that
allow for adjusting the view of your Database
Access Request Form. There are also options
to “Save” or “Print” the Form.
If the PDF does not load, click the “here” link
to open the form directly.
Click the “Return to Printable Document”
button to return back to the Printable
Documents page, or “Return to Applications”
to return Applications page.
See the “Appendix-Database Access Request
Forms” for more information.
Page 50 of 68
Applicable to Security Portal Users Who Are Approved Users of the PDMP-Controlled Substance Database
Approved Physicians will see the following
Document on the “Printable Documents”
page:
“PDMP Certificate”
This certificate will verify your registration into
the PDMP Database for your license renewal.
All other users who meet the criteria for
having a controlled substance database access
request form will only see the “PDMP
Application” form.
Page 51 of 68
Approved users will see the following
Documents on the “Printable Documents”
page: the PDMP Application and the PDMP
Agreement.
Click the “Select” link beside the PDMP
Agreement to view the PDMP Privacy
Agreement and Memorandum of
Understanding (MOU).
Next, there will be several icons at the bottom
left of the PDMP Agreement .pdf. The first
four icons allow for adjusting the view of your
Database Access Request Form. There are also
options to “Save” or “Print” the Form.
Click the “Return to Printable Document”
button to return back to the Printable
Documents page, or “Return to Applications”
to return Applications page.
Page 52 of 68
How to Contact us if you have Questions
Technical Support
For technical support, click the “Contact Us” link located in
the “I want to…” section of the ADPH Security Portal login
page.
Page 53 of 68
The Security Portal “Contact Us” page contains the following
information:

The Help Link phone number: 334-206-2625 with a
directory for the specific programs:
Press 1 for Electronic Birth or Death Records
Press 2 for the Prescription Drug Monitoring Program
Press 3 for Meaningful Use
Press 3 for Other Concerns

To request assistance by e-mail, click the links below
to contact the Vital Stats program and the PDMP
through ADPH.org.
Page 54 of 68
Appendix
Database Access Request Forms
PDMP – Practitioner
How to complete the specific fields for the “Practitioner”
Database Access Request Form .pdf will be described in
this portion of the document.
Choose the “Practitioner” radio button for the “PDMP
application type.”
Next, complete the Last 4 of SSN, Date of Birth, Discipline,
License (if applicable), State Board Lic #, DEA #, Facility
Name, and Facility E-mail.
Page 55 of 68
This page shows an example of the “Practitioner Database
Access Request Form” generated by the System.
Once your application is approved, you will receive an
approval confirmation e-mail from the ADPH security
portal system.
Please be mindful that you WILL NOT be able to access the
controlled substance database until your e-mail address
has been verified.
Page 56 of 68
PDMP – Certified Registered Nurse Practitioners (CRNP)
This part of the document will
describe how to complete the specific
fields for CRNP that will appear on the
Database Access Request Form .pdf.
Choose the “CRNP” radio button for
the “PDMP application type.”
Next, complete the Last 4 of SSN, Date
of Birth, State Board Lic #, DEA #,
QACSC Reg #, Facility Name, and
Facility E-mail.
(Please refer to “How to Create An
Account-Practitioner” if you have
questions regarding the entire process
of completing and submitting “Step
1” of the “New User Request” page.)
Page 57 of 68
This page shows an example of the “Nurse Practitioner Database
Request Access Form.”
Once your application is approved, you will receive an approval
confirmation e-mail from the ADPH security portal system.
Please be mindful that you WILL NOT be able to access the
controlled substance database until your e-mail address has been
verified.
Page 58 of 68
PDMP – Certified Nurse Midwife (CNM)
This part of the document will describe how to complete the specific
fields for the CNM Database Access Request Form .pdf.
Choose the “CNM” radio button for the “PDMP application type.”
Next, complete the last four of theSSN, Date of Birth, State Board Lic
#, DEA #, QACSC Reg #, Facility Name, and Facility E-mail.
(Please refer to “How to Create An Account-Practitioner” if you have
questions regarding the entire process of completing and submitting
“Step 1” of the “New User Request” page.)
Page 59 of 68
This page shows an example of the “Certified Nurse
Midwife Database Request Access Form.”
Once your application is approved, you will receive an
approval confirmation e-mail from the ADPH security
portal system.
Please be mindful that you WILL NOT be able to access
the controlled substance database until your e-mail
address has been verified.
Page 60 of 68
PDMP – Physician Assistant (PA)
How to complete the specific fields for the “Physician
Assistant” Database Access Request Form .pdf will be
described in this portion of the document.
Choose the “Physician Assistant” radio button for the
“PDMP application type.”
Next, complete the Last 4 of SSN, Date of Birth, State
Board Lic #, DEA #, QACSC Reg #, Facility Name, and
Facility E-mail.
(Please refer to “How to Create An AccountPractitioner” if you have questions regarding the entire
process of completing and submitting “Step 1” of the
“New User Request” page.)
Page 61 of 68
This page shows an example of the “Physician
Assistant Database Access Request Form”
Once your application is approved, you will receive
an approval confirmation e-mail from the ADPH
security portal system.
Please be mindful that you WILL NOT be able to
access the controlled substance database until your
e-mail address has been verified.
Page 62 of 68
PDMP – Pharmacist
How to complete the specific fields
for the “Pharmacist Database Access
Request Form” .pdf will be described
in this portion of the document.
Choose the “Pharmacist” radio button
for the “PDMP application type.”
Next, complete the Last 4 of SSN,
Date of Birth, Area of Work, State
Board Lic #, Facility Name,
Facility E-mail.
questions regarding the entire
process of completing and submitting
“Step 1” of the “New User Request”
page.)
Page 63 of 68
This page shows an example of the “Pharmacist
Database Access Request Form” generated by the
System.
access the controlled substance database until your
e-mail address has been verified.
Page 64 of 68
PDMP – Law Enforcement
How to complete the specific fields
for the “Law Enforcement” Database
Access Request Form .pdf will be
described in this portion of the
document.
Choose the “Law Enforcement” radio
button for the “PDMP application
type.”
Next, complete the APOST Number,
Last 4 of SSN, Date of Birth, and
Agency Name fields.
Enter the following information about
the Chief Law Enforcement Officer:
Title, First Name, Last Name, Phone
Number, Fax Number, and e-mail
Address.
questions regarding the entire
process of completing and submitting
“Step 1” of the “New User Request”
page.)
Page 65 of 68
This page shows an example of the “Law
Enforcement Database Access Request Form”
access the controlled substance database until email address has been verified.
Page 66 of 68
How do I locate my license type?
The Boards of Optometry, Pharmacy, Podiatry and Veterinary
Medical Examiners only offer one option each. Each option will
auto-populate in the “License Type” field.
However, other License Boards include more than one option.
The “Board of Dental Examiners” includes “Dentists”, “Hygienists”
and “Special Purpose.”
The “Board of Nursing” includes “Certified Nurse Midwife” and
“Certified Registered Nurse Practitioner.”
The “Board of Medical Examiners” includes many options.
See the screen capture to the right.
Page 67 of 68
The “Other License Types” include several different options.
See the screen capture to the right.
Page 68 of 68

How to Utilize the Security Portal to Access PDMP

Transcription

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