Pharmacist Immunization Certification Form - New York

Pharmacist Immunization Certification Form - New York

Pharmacist Immunization Certification Form is a legal document that was released by the New York State Education Department - a government authority operating within New York.

FAQ

Q: What is the Pharmacist Immunization Certification Form?
A: The Pharmacist Immunization Certification Form is a document used in New York to certify that a pharmacist has completed training and is authorized to administer immunizations.

Q: Who needs to fill out the Pharmacist Immunization Certification Form?
A: Pharmacists in New York who have completed training to administer immunizations need to fill out this form.

Q: What is the purpose of the form?
A: The purpose of the form is to verify that a pharmacist has the necessary training to safely administer immunizations.

Q: What information is required on the form?
A: The form requires the pharmacist's personal information, training details, and a signature to certify completion of the training.

Q: Is there a fee to submit the form?
A: There is no fee to submit the Pharmacist Immunization Certification Form.

Q: Are there any additional requirements to administer immunizations?
A: Yes, pharmacists must also have a current New York State pharmacy license and complete any additional training required by their employer.

Q: Can a pharmacist administer immunizations without completing this form?
A: No, pharmacists in New York must complete the form and receive certification before they can administer immunizations.

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Form Details:

  • Released on February 1, 2019;
  • The latest edition currently provided by the New York State Education Department;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New York State Education Department.

Download Pharmacist Immunization Certification Form - New York

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