This form is to request registration in Henry Schein’s e222 program.

Please fill out our form and submit only if:

• You have already enrolled in the Drug Enforcement Agency’s (DEA) Controlled Substance Ordering System (CSOS) program Click here for more information on enrolling in CSOS
• You have completed Henry Schein’s e222 e-mail & digital security certificate test Click here for more information on e222 digital security test.

Please submit your form and we will reply within 2 business days