Virginia Department of Health Professions Forms

This document is used to apply for registration as a non-resident outsourcing facility in the state of Virginia.

This form is used for registering as a non-resident medical equipment supplier in the state of Virginia.

This form is used to apply for a license as a wholesale distributor in the state of Virginia.

This document is an application for a facility permit in Virginia that allows practitioners of the healing arts to sell controlled substances. The permit is necessary to ensure the proper handling and distribution of these substances in a safe and regulated manner.

This document is for non-resident third party logistics providers who wish to register in the state of Virginia. It is used to apply for registration and provide the necessary information to become a registered logistics provider in Virginia.

This Form is used for individuals in Virginia who want to change their name.

This document is used for applying for approval of a continuing education program in the state of Virginia.

This document is an application used in Virginia for seeking approval of ACPE-accredited pharmacy school courses for continuing education credit.

This document is used to apply for a Controlled Substances Registration Certificate in the state of Virginia.

This document is a sponsor certification form required for volunteer registration in the state of Virginia. It verifies the sponsorship of an individual or organization in supporting a volunteer's registration.

This form is used for applying for approval of a repackaging training program in the state of Virginia.

This form is used for obtaining Continuing Education (CE) credits for volunteer practice in the field of pharmacy in Virginia. It is required by the Board of Pharmacy in Virginia.

This document is an inspection report used in Virginia for practitioners who sell controlled substances. It helps ensure compliance with regulations and identifies any potential issues.

This document is used for inspecting wholesale distributors, warehousers, third-party logistics providers, restricted manufacturers, and non-restricted manufacturers in Virginia.

This form is used by preceptors in Virginia to apply for Continuing Education (CE) credits. Preceptors can fill out the form to earn credit for their teaching and mentoring activities. This is an important document for educators in the state.

This Form is used for pharmacists in Virginia who want to apply for volunteer practice opportunities. It allows pharmacists to offer their services without compensation in order to gain experience or give back to the community.

This document notifies Virginia residents about the cessation of distribution due to suspicious orders.

This Form is used for applying for a permit as a non-restricted manufacturer in the state of Virginia.

This form is used for non-resident manufacturers to register in the state of Virginia.

This document is used to apply for registration as a limited-use pharmacy technician exclusively in a free clinic in the state of Virginia.

This Form is used for inspecting medical equipment suppliers in Virginia. It ensures that the suppliers meet the required standards and regulations.

This document is used for inspecting wholesale distributors, warehousers, third-party logistics providers, and restricted and non-restricted manufacturers in the state of Virginia.

This Form is used for the inspection of practitioners who are licensed to sell controlled substances in the state of Virginia.

This Form is used for outlining coursework for becoming a Qualified Mental Health Professional (QMHP) in Virginia.

This document is used to request an inactive status for a current Virginia Board of Counseling license.

This document is for conducting inspections of pharmacy remodels in Virginia. It ensures compliance with regulations and standards in the state.

This document is for individuals who are licensed as practitioners of the healing arts in the state of Virginia and wish to sell controlled substances. It provides information and guidelines on the legal requirements and regulations that must be followed in order to engage in this practice.

This form is used for reinstating the application of a qualified mental health professional (QMHP) of grade A or C in the state of Virginia after their license has been revoked or suspended.

This Form is used for reinstating certification as a Certified Substance Abuse Counselor (CSAC) or Certified Substance Abuse Counselor Assistant (CSAC-A) in the state of Virginia.

This Form is used for applying for reinstatement as a Qualified Mental Health Professional (QMHP-A or QMHP-C) in the state of Virginia.