Downloadable Forms
  

Collaborative Agreements for Prescriptive Authority

 

Sample CAPA-CS (Word doc)

 

APPROVED CAPA-NS Form (pdf)


For other forms that have been defined by REGULATION, visit KBN's APRN Practice Page. and scroll down. There you will find the various notification forms related to entering into, discontinuing and/or rescinding prescribing agreements.

 

If you have any suggestions as to other forms we should have here, please let us know!

 

 

more Calendar

4/18/2018 » 4/21/2018
Annual Conference 2018-Lexington

4/24/2019 » 4/27/2019
Annual Conference 2019/ Covington

4/15/2020 » 4/18/2020
Annual Conference 2020/Lexington

4/20/2021 » 4/23/2021
Annual Conference 2021/Louisville

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