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PLA > Inspect > Forms & Instructional Materials Forms & Instructional Materials


Forms

Online Zero Report Form

Pharmacy Profile Form 

Practitioner Re-Authentication Form

If the notary seal on your Re-Authentication form is embrossed, the form must be mailed to: 402 W. Washington St. Rm W072, Indianapolis, IN 46204.

 

Manuals & Instructional Documents

 

 

Most documents are in Adobe Acrobat PDF format.  If you do not have Adobe Acrobat, you may download their free reader at http://www.adobe.com/.

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ReAuthentication Form