Application for Extended Pharmacist-Intern (Word)
Application for Extended Pharmacist-Intern (PDF)


Hours Completion Form (PDF) This form is provided for documenting Intern hours completed by Student Interns or Extended Interns.

Order Replacement Intern Card  A duplicate intern card may be obtained by submitting the following to the Board office: 1. A statement outlining the circumstances under which the document was lost or destroyed. 2. The name,address and intern number on the document; and 3. A check or money order for $20 payable to the board.