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State of Nebraska DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF PUBLIC HEALTH LICENSURE UNIT P.O. BOX 94986, LINCOLN, NE 685094986 (402) 4712118AFFIDAVIT OF CLINICAL PHARMACY HOURS___Applicants
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How to fill out affidavit of clinical pharmacy

How to fill out affidavit of clinical pharmacy
01
Obtain the affidavit of clinical pharmacy form from the relevant authority or organization.
02
Fill in your personal details including your name, address, contact information, etc.
03
Provide information about your qualifications and experience in the field of clinical pharmacy.
04
Include details about the specific clinical pharmacy activities you are involved in or have completed.
05
Sign and date the affidavit to certify that all the information provided is true and accurate.
Who needs affidavit of clinical pharmacy?
01
Pharmacists who are involved in clinical practice
02
Pharmacy students who are completing a clinical pharmacy rotation or internship
03
Pharmacy technicians seeking certification or licensure in clinical pharmacy
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What is affidavit of clinical pharmacy?
Affidavit of clinical pharmacy is a document that pharmacists must complete to attest to their adherence to clinical pharmacy practices.
Who is required to file affidavit of clinical pharmacy?
Pharmacists who are involved in clinical pharmacy practices are required to file affidavit of clinical pharmacy.
How to fill out affidavit of clinical pharmacy?
To fill out affidavit of clinical pharmacy, pharmacists must provide information about their clinical pharmacy practices and sign the document to attest to its accuracy.
What is the purpose of affidavit of clinical pharmacy?
The purpose of affidavit of clinical pharmacy is to ensure that pharmacists are following proper clinical pharmacy practices.
What information must be reported on affidavit of clinical pharmacy?
Information such as the pharmacist's clinical pharmacy activities, patient interactions, and continuing education must be reported on affidavit of clinical pharmacy.
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