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How do I fill this out?
To fill out this file, carefully follow the provided instructions and ensure all required information is complete and accurate. Make sure to include all necessary documents and fees. Double-check for common mistakes before submission.
How to fill out the Advanced Practice Pharmacist Application Instructions?
1
Complete the application fee section.
2
Fill out the Application for Advanced Practice Pharmacist.
3
Include necessary documentation for military expedite if applicable.
4
Include necessary documentation for refugee expedite if applicable.
5
Provide proof of experience and certification.
Who needs the Advanced Practice Pharmacist Application Instructions?
1
Licensed pharmacists in California looking to advance their practice.
2
Military veterans seeking expedited licensure.
3
Active duty military spouses or partners requiring licensure in California.
4
Refugees needing expedited licensure in California.
5
Pharmacists with relevant postgraduate residency experience.
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With PrintFriendly, you can easily edit this PDF using our comprehensive PDF editor. Adjust text, add annotations, and make necessary modifications directly on the platform. Ensure your application is complete and accurate before downloading.
1
Open the PDF in PrintFriendly.
2
Use the editor to fill in required information.
3
Attach necessary documentation.
4
Review and finalize the edits.
5
Download the completed application.
What are the instructions for submitting this form?
Complete the application form and include all necessary documentation. Submit the form along with the application fee to the California State Board of Pharmacy at 2720 Gateway Oaks Drive, Suite 100, Sacramento, CA 95833. Alternatively, submit the application online through the Board's website. For inquiries, contact the Board at (916) 518-3100 or email to their official communication channel.
What are the important dates for this form in 2024 and 2025?
Ensure all application materials are submitted within the required timeframe. Address any deficiencies within 60 days from the date of notification.
What is the purpose of this form?
This form is designed to guide pharmacists through the process of obtaining an Advanced Practice Pharmacist license in California. It provides detailed instructions on qualification requirements, necessary documentation, and submission guidelines. The form also includes information on expedite options for military personnel and refugees.
Tell me about this form and its components and fields line-by-line.
- 1. Application Fee: Include a check or money order for $300 made payable to the Board of Pharmacy. This fee is non-refundable.
- 2. Application for Advanced Practice Pharmacist: Complete the entire application with accurate information. Preferably complete it online, print, sign, and date the form.
- 3. Military Expedite: Include necessary documentation if you qualify for military expedite as a veteran or active duty spouse/partner.
- 4. Refugee Expedite: Include necessary documentation if you qualify for refugee expedite under relevant U.S. Code sections.
- 5. Experience/Certification: Provide proof of relevant certification, postgraduate residency, and hours of clinical experience as required.
What happens if I fail to submit this form?
Failure to submit this form may result in your application being considered abandoned and withdrawn.
- Deficiency Notice: You will receive a Deficiency Notice via email if your application is incomplete.
- Abandonment: Failure to address deficiencies within 60 days may result in your application being considered abandoned.
- Delayed Licensure: Incomplete applications will delay the processing and issuance of your license.
How do I know when to use this form?
- 1. Advancing Practice: For pharmacists looking to advance their practice with an advanced license.
- 2. Military Expedite: For military veterans and active duty spouses or partners seeking expedited licensure.
- 3. Refugee Expedite: For refugees needing expedited licensure in California.
- 4. Postgraduate Experience: For pharmacists with relevant postgraduate residency experience.
Frequently Asked Questions
How do I fill out the Advanced Practice Pharmacist application?
Follow the provided instructions, ensure all fields are complete, and attach necessary documentation.
Can I expedite my application?
Yes, there are expedite options for military veterans, active duty military spouses or partners, and refugees.
What documentation is required for military expedite?
Provide a copy of your DD214, current license, marriage certificate or legal union evidence, and military orders.
What documentation is required for refugee expedite?
Provide Form I-94, special immigrant visa, Permanent Resident Card, or court order indicating refugee status.
How can I edit my application on PrintFriendly?
Use PrintFriendly's PDF editor to adjust text, add annotations, and make necessary modifications.
How can I sign my application on PrintFriendly?
Use PrintFriendly's signature tool to add your wet signature electronically.
How can I share my completed application?
Download the completed file and share it via email or through a direct link provided by PrintFriendly.
What happens if my application is incomplete?
You will receive a 'Deficiency Notice' via email and must address the deficiencies within 60 days.
How long will it take to process my application?
Allow the Board 30 days to process your application and an additional four to six weeks to receive your license.
Can I submit my application online?
Yes, it is preferable to complete the application online, print, sign, and mail it to the Board.
