Agency Schedule Detail

Authorization Number : 580-1240

Agency Series No. : PHA-10C

Status : Active

Agency Web Link :

Agency : DMH

Confidential Description :

Division : DMHCOff

Vital Description :

Section : DMHCOff

Record Title : Drug Order Tracking Record

Revision : 1

Record Description : (DMH-0121) Form used to document delivery services tracking and information to answer questions about drug order turn around. A copy of the daily dispensing record and a copy of the cutomer packing list are attached to this form.

Retention Period	Retention Justification	Media Code	Method of Disposal
Retain 1 fiscal year, then destroy.	Documents attached to this form contain patient names.	Paper	Shred

Approvals

Status	Name	Title	Date
Approved	Sue Slaughter	Records Officer	3/14/2008 10:22:00 AM
Approved	Michael Hardenbrook	Record Administrator	3/17/2008 10:17:00 AM
Approved	Martin Meeks	State Auditor	3/24/2008 1:58:00 PM
Approved	Fred Previts	State Archivist	3/26/2008 10:25:00 AM

Notes

Date	Reason	User