Get Bopohiogov Form

Filling out the Bopohiogov Form online is a crucial step for pharmacy interns seeking to document their preceptor's information electronically. This guide offers clear instructions to ensure that all necessary fields are accurately completed and submitted in a timely manner.

Follow the steps to successfully complete the Bopohiogov Form online.

1. Press the ‘Get Form’ button to access the form and open it in the provided editor.
2. In the first section, input your Ohio pharmacy intern license identification number along with your name and mailing address. Make sure to type or print this information clearly.
3. Next, enter the details of your training site, including the name, license number, street address, county, city, state, and zip code. Also provide the area code and phone number for the training site.
4. Indicate whether the owner, employer, or administrator of the training site has approved training interns. Choose 'Yes' or 'No' based on their approval status.
5. In the section for the type of site, check the appropriate box to indicate whether it is a community pharmacy, hospital pharmacy, or another type of site. If selecting 'Other,' provide the specific type.
6. Provide the name of the person supervising your experience, their RPh ID number if applicable, and their designation (owner, manager, or employee).
7. The preceptor must then read the statement and confirm their agreement by providing their signature and the date signed. This signature requires notarization.
8. After completing all sections, review the form for accuracy and completeness, ensuring all necessary information is included.
9. Save your changes to the form. You will then have the option to download the completed document for your records, print it, or share it as needed.

Complete your Bopohiogov Form online today to ensure your internship documentation is submitted correctly and on time.