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

10/18/2018
Regional Meeting Northern KY

10/18/2018
Regional Meeting Paducah

10/19/2018 » 10/20/2018
FOUNDATIONS OF ECLS: SKILLS, TRAINING AND HANDS-ON MANAGEMENT

10/20/2018
Regional Meeting Hazard/Prestonsburg

10/25/2018
Regional Meeting Elizabethtown

10/26/2018 » 10/27/2018
20th Annual Sleep Conference

10/30/2018
Regional Meeting Louisville

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