RENEWAL FORMS

*IMPORTANT*  You Will Need The Latest Version of Adobe Acrobat / Reader To Access Forms.  Click on any [PDF] link to download it.  Before printing the PDF documents, make sure you have checked 'print as image' in your Print Dialog Box, then print.

Credit Card Transmittal Form  [PDF]

CONTROLLED SUBSTANCE REGISTRATION RENEWALS

If you have not renewed your CS Registration for the 2008 season you must now apply for reinstatement. Contact Dustie Reyna by using this email link.

SPRING RENEWALS

Licenses and registrations that expired June 30, 2008 may be renewed at this time.

Durable Medical Equipment Outlet (DME)          Pharmacy

Institutional Drug Outlet                                       Pharmacy Technician 

Mail Service Pharmacy                                        Preceptor Site

Non Pharmacy A, B or V                                    Veterinary Drug Outlet

Pharmacist                                                           Veterinary Drug Technician

Please use these email links to contact Ellen Mitchell or Laura Poulsen with any questions regarding renewal of the above.

Last update - 05/13/2008