Prescription Drug Monitoring Program (PDMP): Request Your Patient Report

For Consumers

If you wish to obtain a copy of your own data transmitted to the Electronic Prescription Drug Monitoring Program, please complete this confidential Patient Information Form and mail to the Colorado State Board of Pharmacy at the address on the form. Please remember to include a copy of the front and back of your driver’s license or state-issued identification card. Upon receipt of your request, the requested information will be researched and mailed back to you.