Get Lehigh Valley Health Network Pharmacist Licensure Verification 2018-2026

Filling out the Lehigh Valley Health Network Pharmacist Licensure Verification is an essential part of the application process for the PGY1 Pharmacy Residency Program. This guide offers detailed, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the Pharmacist Licensure Verification form

1. Click ‘Get Form’ button to access the document and open it in your editor.
2. Begin by providing your printed name as the PGY1 Pharmacy Resident applicant in the designated field.
3. In the section regarding the licensure exams, inform the program director of the dates you are scheduled to take the NAPLEX and Pennsylvania MPJE exams if you are not already licensed. Ensure this information is submitted by the required deadline.
4. Detail your plan for achieving the required 500 externship hours. Provide specific information in the space provided, ensuring you outline how you will fulfill these hours as deemed acceptable by the Pennsylvania State Board of Pharmacy.
5. Calculate and enter the approximate date by which you expect to complete your externship hours in the specified field.
6. Review the licensure requirements carefully to confirm your understanding of Lehigh Valley Health Network's expectations.
7. Once all fields are filled correctly, proceed to sign and date the form in the respective areas.
8. After completing the form, you can save the changes, download the document, print it, or share it according to your submission needs.

Start completing your Pharmacist Licensure Verification form online to ensure you meet all requirements for the residency program.