Are you a new or returning customer? * New customer who has never had their product certified by an EPCS auditor. New customer with an EPCS product previously certified by a company other than Drummond Group. Returning Drummond customer who wants to recertify their EPCS product.

Company *

First Name *

Last Name *

Email *

Phone Number *

Expiration Date of Current DEA EPCS Audit *

Target start date for EPCS certification *

Have you developed your own EPCS module, or did you integrate thorough a 3rd party EPCS module (eg, Dr. First, Dosespot, NewCrop, etc.)? * Our Own EPCS Module 3rd Party Module

If you answered "3rd party module," please indicate which one.

Current EPCS Auditor *

How did you hear about us? *

Is there anything else you want us to know?

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