Prescription Monitoring Program: Law Enforcement Registration

Please complete and submit the following form. We will use the information to verify your identity and the authencity of your access request.

Officer Information
All communications will be sent to this email address, including information that will help you recover your ID or password.
Please enter your email address again to help ensure accuracy.
8 to 32 characters with at least 1 number and 1 upper and lower case letters. Do NOT use your email password.
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If you select "I do not agree", please contact (217) 524-1311.