oard of Pharmacy Forms and applications - Washington State Department of Health

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Pharmacist Application Packets
By Exam	Pharmacist by Exam for New Graduates Pharmacist by Exam Graduates Only in FL or CA Pharmacist by Exam Canadian Graduates before January 1994 Pharmacist by Exam Canadian Graduates after January 1994
By Score Transfer	Pharmacist by Score Transfer Pharmacist by Score Transfer FL or CA
By Reciprocity	Pharmacist by Transfer or Reciprocity Pharmacist by Transfer or Reciprocity for a Foreign Graduate
Foreign Graduates	Pharmacist Foreign Graduates Pharmacist Foreign Graduate Score Transfer Pharmacist Foreign Graduate FL or CA
NABP and Tests	Licensure Transfer, FPGEE/FPGEC, and Registration for NAPLEX and MPJE Test of English as a Foreign Language (TOEFL) or TOEFL Internet-based Test (iBT) Test of Spoken English (TSE) Application for Special Testing Accommodations
Expired Pharmacist	Expired Pharmacist Credential Activation Packet
Preceptor	Pharmacist Preceptor Application Packet
	Start by downloading the Experiential Training Manual. The Preceptor Examination tests your knowledge of the Manual. Other Forms in the Manual Internship Site and Preceptor Notification Intern Self-Evaluation Report Preceptor Evaluation and Certification of Experience Intern Site Evaluation Report
Intern	Pharmacist Intern Application for US Students Pharmacists Intern Application for Foreign Graduates and Graduates from Canadian Pharmacy Schools before January 1994 Pharmacists Intern Application for Foreign Graduates and Graduates from Canadian Pharmacy Schools after January 1994
Technician	Application Verification Of Law Study (for out-of-state technicians) Expired Pharmacy Technician Credential Activation Packet
Assistant	Pharmacy Assistant Application Packet
CSA Researcher	Application
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Pharmacy Firms Application Packets
	Drug Animal Control/Humane Society Registration Application Packet Drug Dog Handlers Registration Application Packet Drug Fish and Wildlife Registration Application Packet Drug Precursor Registration Application Packet Health Care Entity Application Packet Itinerant Vendor or Peddler Application Packet Legend Drug Sample Distribution Application Packet Nonresident Pharmacy License Application Packet Other Controlled Substance Registration Application Packet Pharmaceutical Manufacturer License Application Packet Pharmaceutical Wholesaler License Application Packet Pharmacy License Application Packet Poison Distributor Application Packet Poison Manufacturer Application Packet
Firms Application Forms
	Change of Responsible Manager Differential Hours Inspection Feedback Form Pharmacy Self-Inspection Procedures Pharmacy Inspection Report Pharmacy Ancillary Utilization Application Sample Ancillary Personnel Utilization Plans Precursor Substance Receipt Report Relocation of a Pharmacy within an Establishment
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Other Forms and Guidelines/Position Statements
Other Forms	Automated Drug Distribution Devices Continuing Education Approval Death with Dignity Web page - Pharmacy Dispensing Record Emergency Drug Anaphylactic Reaction Kits Keeping Track of Your Medications Model P&P for Animal Control Agencies and Humane Societies Pharmacy Technician On-The-Job Training Pharmacy Technician Formal Training Pharmacy Technician Specialized Function Report CS Loss DEA Form 106 on-line form
Pharmacist Collaborative Drug Agreement (Prescribing Protocol)	ECP Collaborative Agreement Sample Immunization Collaborative Agreement Sample Pharmacist Collaborative Drug Agreements
Electronic Rx Transmission System Forms	Electronic Prescription Transmission System Pharmacy Software Electronic Prescription Transmission System
Guidelines/Position Statements	Authentication of Verbal Orders in Hospitals Best Practice Guidelines for Verbal Precriptions Central Fill Pharmacy Requirements Guidelines for Implementation of Pharmacy Technicians Medication Security in a Hospital/Position Statement Remote Order Processing Guidelines
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