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K-TRACS Forms

Certification Form (For Healthcare Professionals Only)
Notary Form (For Other Professionals)
Patient Request Form
  • Patient Request Form - PLEASE NOTE:  An appointment is required at the K-TRACS office to pick up your report.  Appointments can be made by calling 785-296-4056.

Prescriber History Request Form

Reporting Dispenser Forms

Registered K-TRACS Users - Account Update/Changes Form