Skip to main content
  • State of Arizona
  • Visit OpenBooks
  • Ombudsman Citizens Aide
  • Register to Vote
Logo for Prescription Monitoring Program Prescription Monitoring Program

Main navigation

  • Home
  • PMP Users
  • Data Submitters
  • Integration
  • Rules & Statutes
  • Dashboard
  • Resources
    • Resources
    • Report Suspicious Activity
    • MME Calculator
    • Controlled Substances Disposal Sites
    • NABP Drug Donation Program
  • About
    • About the Arizona PMP
    • PMP Team
    • ASBP Website
    • Contact Us

User account menu

Log in
  1. Home
  2. Resources
  3. Request Your PMP Patient Record

Request Your PMP Patient Record

Document Type
Form
Individual_Patient_PMP_Request_20191220.pdf
Official Seal of the State of Arizona

Contact

Arizona State Board of Pharmacy - Controlled Substances Prescription Monitoring Program
1110 W. Washington St., Suite 260
Phoenix, AZ 85007

Find in Google Maps

Phone: (602) 771-2730
Fax: (602) 771-2748

Footer

  • Statewide Policies
  • Website accessibility
  • Content disclaimer
  • Privacy policy
  • Security
  • Sitemap