Downloadable Forms

Collaborative Agreements for Prescriptive Authority


Sample CAPA-CS (Word doc)



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

Non-KANPNM Event - Migraines

4/15/2020 » 4/18/2020
***cancelled***The 32nd Annual Coalition Conference 2020/Lexington

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