Contacts
Drug Control Program
Boston Field Office of the Drug Enforcement Administration
The Details of Submit a Drug Incident Report (DIR)
What you need for Submit a Drug Incident Report (DIR)
- Facility information
- Facility name
- Address
- Facility type
- Date of loss
- Specific location of loss (unit, floor, etc., if applicable)
- Incident type
- Diversion
- Loss
- Theft
- Tampering
- Documentation
- Other (please specify)
- Drug information (use extra sheets if needed)
- Name
- Quantity
- Strength
- Dosage Form
- An explanation of what happened
- Include factors may have contributed to loss
- Include any other relevant information
- State if patient harm was involved
- Use extra sheets if necessary
How to submit Submit a Drug Incident Report (DIR)
File a Drug Incident Report using our Health Professions Licensing System.
Next steps for Submit a Drug Incident Report (DIR)
Intake number
When you file a Drug Incident Report an Incident report # is assigned and appears in the top left corner of the report. Please refer to this Incident report # in any communication with DCP related to this incident and submit any additional relevant information to DIR.DCP@mass.gov.
More info for Submit a Drug Incident Report (DIR)
The submission of the DIR form will satisfy DCP's requirements for both a telephonic and written report (the latter is currently required within 7 days of discovery).
Contact for Submit a Drug Incident Report (DIR)
Address
250 Washington Street, 3rd Floor, Boston, MA 02108