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  • Ptac Speaker Request Form03192009.doc - Chfs Ky

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Organization(s) Representing: Disclosure of any Conflict of Interest: Drug or Topic to be presented (must be related to an agenda item): A public presentation at a P&T Committee meeting shall comply with the following: The verbal presentation shall not exceed five (5) minutes in aggregate per drug per manufacturer or five (5) minutes by an individual speak.

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How to fill out the PTAC Speaker Request Form03192009.doc - Chfs Ky online

The PTAC Speaker Request Form is essential for individuals seeking to present information at Pharmacy and Therapeutic Advisory Committee meetings. This guide provides clear and concise instructions on how to fill out the form effectively online.

Follow the steps to complete the form successfully.

  1. Click the ‘Get Form’ button to access the form and open it in your preferred document editor.
  2. Fill in the 'Presenter Name and Title' section with your full name and official title.
  3. Provide your 'Contact Information' by entering your email address for any necessary correspondence.
  4. List the 'Organization(s) Representing' to indicate any affiliations relevant to your presentation.
  5. Disclose any 'Conflict of Interest' pertinent to your presentation topic, ensuring transparency.
  6. Specify the 'Drug or Topic to be presented,' ensuring it aligns with the agenda items.
  7. Review presentation guidelines, ensuring your verbal presentation adheres to the five-minute limit and submission deadlines.
  8. Prepare any nonverbal comments or additional materials, ensuring that you produce eighteen copies for distribution.
  9. Save your changes to the document, and consider downloading or printing a copy for your records.
  10. Check once more to ensure all information is accurate before sharing or submitting your request as specified.

Complete your request online today and contribute to the important discussions at the P&T Committee meeting.

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Lesa Dennis was appointed Commissioner of the Department for Community Based Services by Gov. Andy Beshear on June 16, 2023. Dennis began her career at DCBS on March 16, 1997, as a frontline social worker, serving children, families and vulnerable adults in Eastern Kentucky.

The current Kentucky Commissioner of Education is Robbie Fletcher (nonpartisan).

Lisa Lee - Commissioner - Kentucky Department for Medicaid Services | LinkedIn.

​ Keith Jackson, ​Secretary.

On November 24th Kentucky Public Health Commissioner Dr. Steven Stack joined Bill Bryant with Kentucky Newsmakers to discuss various public health topics including holiday food safety, immunizations, the new Our Healthy Kentucky Home initiative and more! Watch the segment on WKYT! Kentucky Newsmakers 11/24: Ky.

To contact the Cabinet by phone, call toll free at (800) 372-2973, TTY for hearing impaired (800) 627-4702, or visit CHFS Listens​.

The Department for Community Based Services (DCBS) is responsible for child and adult protection, foster care and adoption, and services to enhance family self-sufficiency, including food stamps and cash assistance.

The Cabinet for Health and Family Services is the state government agency that administers programs to promote the mental and physical health of Kentuckians and support Kentucky's families.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232