Downloadable Forms
Sample CAPA-CS (Word doc)


CAPA-NS (pdf)

For all forms that have been defined by REGULATION, visit KBN's APRN Practice Page. and scroll down. There you will find the "Common" CAPA-NS and 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

Regional Meeting- Bowling Green

KCNPNM Legislative Day 2018

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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