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

6/27/2019
Regional Meeting Northern Kentucky

6/30/2019
Deadline for Newsletter submissions

7/11/2019
Regional Meeting Somerset

11/2/2019
Board Meeting

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