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

8/18/2018
Pharmacy Potpourri: Updates in the Treatment of Chronic Conditions

8/23/2018
Regional Meeting Northern Kentucky

8/25/2018
Medication Safety & Quality: Pearls for Advanced Practical Nurses

8/30/2018
Regional Meeting Somerset

9/14/2018 » 9/15/2018
Leadership Retreat

9/17/2018 » 9/18/2018
22nd Annual Kids Are Worth It!® Child Abuse Prevention Conference

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