Get Kbn Capa Ns Forms From 2012

Filling out the Kbn Capa Ns Forms From 2012 is an essential step for Advanced Practice Registered Nurses seeking prescriptive authority for nonscheduled legend drugs in Kentucky. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully complete the form online.

1. To obtain the form, click the ‘Get Form’ button. This action will enable you to access the Kbn Capa Ns Forms From 2012 in an editable format.
2. Begin by entering your last name in the designated section labeled 'APRN Last Name.' It is important to print this information clearly to ensure no confusion.
3. Next, fill in the last name of the collaborating physician in the 'Physician Last Name' section, also ensuring that this is printed clearly.
4. Proceed to fill in your first name in the 'APRN First Name' section, making sure to print clearly just as in the previous fields.
5. In the next section, fill in the first name of the physician collaborating with you, printed clearly as well.
6. Provide your Kentucky APRN license number in the designated field, followed by the physician's license number in the next area.
7. Fill out your 'Population Focus' and 'Specialty' areas as applicable to your practice.
8. Sign and date the form in the areas provided for both you and the collaborating physician to confirm your agreement.
9. Complete the section labeled 'Name of Practice' and fill in the corresponding address, city, state, and zip code. Include the practice's phone number, ensuring to include the area code.
10. Review the form to make sure all required fields are filled out completely and accurately, as incomplete forms will be returned for completion.
11. Once all information has been entered, you can save the changes made to the document and choose to download, print, or share the form as required. Finally, submit the completed form to the Kentucky Board of Nursing by the specified methods provided in the instructions.

Begin filling out your Kbn Capa Ns Forms From 2012 online today to ensure your compliance and maintain your practice.