Licensure Specialist, Britni Norwood
Vaccine Protocol Registration
GCMB has been designated caretaker for the Vaccine Protocol Agreement process. Please find below the application material to submit for Vaccine Protocol Agreement registration.
Letter from DPH to Pharmacist regarding Vaccine records and process
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FORMS
Vaccine Protocol Agreement General Information and Checklist
Vaccine Protocol Agreement Form WITH Alternate Physician
Vaccine Protocol Agreement Form WITHOUT Alternate Physician
Vaccine Protocol Agreement Affidavit
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If you have any questions regarding the process, contact:
Licensure Specialist, Britni Norwood