
California State Board of PharmacyBUSINESS, CONSUMER SERVICES AND HOUSING AGENCY DEPARTMENT OF CONSUMER AFFAIRS GAVIN NEWSOM, GOVERNOR2720 Gateway Oaks Drive, Suite 100 Sacramento, CA 95833 Phone:.
Open form follow the instructions
Easily sign the form with your finger
Send filled & signed form or save
How to fill out the CA 17M-13 online
The CA 17M-13 is an essential self-assessment form for pharmacies in California, designed to ensure compliance with federal and state pharmacy laws. This guide offers a step-by-step approach to complete the form online effectively and accurately.
Follow the steps to fill out the CA 17M-13 online.
- Use the ‘Get Form’ button to access the CA 17M-13 form and open it in the online editor.
- Enter the pharmacy details in the designated fields, including the pharmacy name, address, and contact information. Ensure accuracy in this information as it is crucial for identification purposes.
- Select the ownership type of the pharmacy by checking the appropriate box. Options include Sole Owner, Partnership, Corporation, LLC, Non-Licensed Owner, or Other.
- Input the permit number and its expiration date, along with any other relevant permit numbers.
- List the pharmacy staff, including pharmacists, interns, and pharmacy technicians, by filling in their names and license numbers, as well as their expiration dates.
- Proceed to each section of the self-assessment, answering questions with 'Yes,' 'No,' or 'N/A' as appropriate. If 'No' is selected, provide an explanation under the ‘Corrective Action or Action Plan’ section at the end of each part.
- Review the completed form for accuracy and ensure all required fields are filled out correctly.
- Finalize the form by saving your changes. You can then download, print, or share the form as needed.
Start filling out your CA 17M-13 online today to ensure your pharmacy remains compliant with state regulations.
Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Related content
The self-assessment forms must remain on-site at the facility. Only submit the...
A guide to California community pharmacy law: 2017-2019 ... Pharmacy and Hospital...
Medicine is the science and practice of establishing the diagnosis, prognosis, treatment...
Get answers to your most pressing questions about US Legal Forms API.
Can a pharmacist write a prescription in California?
Under California's law, pharmacists are able to initiate certain prescriptions, as well as provide clinical advice to their patients. Other provisions permit pharmacists to: Prescribe nicotine replacement therapy, which normally requires a prescription from a physician.
What is the importance of community pharmacy?
Community pharmacists offer a trusted environment in which to reduce medication errors and improve safety, while reducing costs and improving the quality of care.
What does community pharmacy mean?
Community pharmacy, also known as retail pharmacy, is the most common type of pharmacy that allows the public access to their medications and advice about their health.
How does a pharmacist contribute to society?
Pharmacists provide optimal management of medication for chronic diseases such as diabetes, asthma, hypertension, etc. The collaboration of healthcare professionals, such as physicians and pharmacists, can help to ensure that patients properly take their medications as prescribed and avoid any harmful effects.
What does a pharmacist do in a community pharmacy?
As a community pharmacist your job would be all about helping patients and the public, assessing their conditions and making decisions about which medicines they should take. You'll be involved in dispensing medicines and offering your patients advice and practical help on keeping healthy.
What does community pharmacy involve?
A community pharmacy is a pharmacy that deals directly with people in the local area. It has responsibilities including compounding, counseling, checking and dispensing of prescription drugs to the patients with care, accuracy, and legality.
Can pharmacists prescribe in California?
Three years after California passed a law that allows pharmacists to prescribe birth control, only 15% of pharmacies in the state off that option, and many women do not know about the law.
What is the difference between retail pharmacy and community pharmacy?
Community pharmacy is different to that of retail. Community considers the patient, their condition and well-being. It means being pro-active and building up a reputation/relationship with the individual to improve their condition (not ensure loyalty to a 'company').
Can a pharmacist refuse to fill a prescription in California?
Can the pharmacist refuse to fill my prescription ? Yes, a pharmacist in his or her professional judgment may refuse to fill a prescription.
Can a pharmacist give you a prescription?
Can a pharmacist prescribe medication? Pharmacists can offer advice and over-the-counter medication to help with a range of common conditions and minor injuries such as: common ailments such as coughs, colds and the flu.
Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
If you believe that this page should be taken down, please follow our DMCA take down process here.