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

2/26/2019
Regional Meeting Ashland

2/26/2019
Regional Meeting Elizabethtown

2/27/2019
Legislative Day in Frankfort

2/28/2019
Regional Meeting Paducah

2/28/2019
Regional Meeting Owensboro

3/12/2019
Regional Meeting Louisville

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

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