Board of Pharmacy Forms and Documents
Forms and Documents issued by the Board of Pharmacy.
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Board of Pharmacy Forms and Documents
- Consultant’s Record of Drugs Destroyed
- NH Controlled Drug Loss Form
- NH Model State-Wide Protocol for Dispensing Hormonal Contraceptives Without Prior Prescription (1/19/2022)
- Safe Medicine Disposal for Consumers Brochure
- Standard Procedures Algorithm for NH RPH Prescribing of Contraceptives (11/17/2021)
- PIC Change/Pharmacy Self-Inspection Form (Retail Pharmacy)
- PIC Change/Pharmacy Self-Inspection Form (Institutional Pharmacy)
- Tobacco Cessation Self-Screening Patient Intake Form
- Tobacco Cessation Assessment & Treatment Care Pathway
- Hormonal Contraceptive Self-Screening Questionnaire