MAPS Consent Form

Michigan law requires us to check a monitoring database before prescribing certain controlled substances for your pet. We ask you to complete this form when your pet is prescribed a Schedule 2–5 controlled substance that exceeds a 3-day supply so we can deliver it to you promptly.
Get Started

Complete Your MAPS Consent Form

Thank you for helping us meet this requirement so we can care for your pet without delay. Completing the form confirms you are the owner, or the owner’s authorized agent, and that you consent to the MAPS review.

I am the owner or the agent for the owner of the animal described above, and I have the authority to execute this consent.


I have been informed that my animal requires a prescription of a Schedule 2-5 controlled substance that exceeds a 3-day supply. Under Public Act 248 of 2017, in order to obtain this prescription, the veterinarian or designee must run a report through MAPS, Michigan’s prescription monitoring program.

This law requires prescribers to obtain and review a patient’s prescription history for red flags and signs of potential opioid abuse prior to prescribing a controlled substance.

Kibby Park Animal Hospital will check MAPS reports for all new prescriptions and for patient use of chronic medications (maximum of every 90 days); we will check reports as dictated by Michigan law.


This facility follows all HIPAA privacy regulations. The MAPS report will not be transferred, received, handled, or shared. It will be used as a reference to review history of your animal's medications only, in accordance with the law.


This consent form is valid for 12 months.

Have an Urgent Concern?

This form is not monitored in real time. If your pet needs immediate care, please call us directly at 517-787-5807 during our regular clinic hours. For help outside our hours, see our emergency and after-hours resources.