K-TRACS Forms

Certification Form (For Healthcare Professionals Only)
Notary Form (For Other Professionals)
Patient Request Form
Please e-mail your request to pmpadmin@ks.gov.

Prescriber History Request Form (For Prescribers Only)
Please e-mail your request to pmpadmin@ks.gov.

Reporting Dispenser Forms

Registered K-TRACS Users - Account Update/Changes Form