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Form 1061 Family Planning Program Class D Pharmacy License Exemption Request - Texas
What Is Form 1061?
This is a legal form that was released by the Texas Health and Human Services - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 1061?
A: Form 1061 is a form used to request a Family Planning Program Class D Pharmacy License Exemption in Texas.
Q: What is the Family Planning Program Class D Pharmacy License?
A: The Family Planning Program Class D Pharmacy License is a license required to provide family planning services in a pharmacy in Texas.
Q: What is the purpose of the exemption request?
A: The exemption request is to request an exemption from the requirement to obtain a Family Planning Program Class D Pharmacy License.
Q: Who can request the exemption?
A: Any pharmacy in Texas can request the exemption.
Q: What is the process for requesting the exemption?
A: The pharmacy must complete and submit Form 1061 to the Texas Department of State Health Services.
Q: What information is required on Form 1061?
A: Form 1061 requires information such as the pharmacy's name, address, contact information, and reasons for requesting the exemption.
Q: Is there a fee for submitting Form 1061?
A: There is no fee required to submit Form 1061.
Q: How long does it take to process the exemption request?
A: The processing time for the exemption request may vary, but it typically takes a few weeks to receive a response.
Q: Can a pharmacy provide family planning services without the exemption?
A: No, a pharmacy is required to have a Family Planning Program Class D Pharmacy License or an exemption in order to provide family planning services in Texas.
Form Details:
- Released on January 1, 2017;
- The latest edition provided by the Texas Health and Human Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form 1061 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
