Apply for, renew, or amend your MCSR for Naloxone

What you need for Apply for, renew, or amend your MCSR for Naloxone

• Municipality or public agency name
• Applicant address
  • We can't process applications with a P.O. box number and no street address
• Applicant telephone number
• Applicant Federal Tax ID Number (Required by M.G.L. c. 30A, s. 13A)
• Name of Medical Director (authorized licensed physician)
• Attach copies of the Medical Director’s Board of Registration in Medicine License and MCSR.
  • Only send copies of supporting documents. Don't send originals, as we won't return them.