Forms Collaborative Practice Collaborative Practice Policy Collaborative Practice Agreement form Collaborative Practice Request for Letter of Collaboration Conscientious Objection Conscientious Objection Action Plan Miscellaneous Letter of Standing Request Name Change Request – Registrant Nomination to council (PDF) Proof of Registration and Licensure Request Replacement Certificate Request Returning to Active Practice: Direct Client Care Register Pharmacies Centralized Prescription Processing Agreement for pharmacies in New Brunswick (PDF) Centralized Prescription Processing Agreement for pharmacies in New Brunswick and Nova Scotia (PDF) Change of Location Change of Ownership (PDF) Change of Pharmacy Manager COVID-19 Notification of Temporary Pharmacy Closure (PDF) Data Sharing Agreement Loss or Theft Report Form for Controlled Substances and Precursors New pharmacy opening Opioid Agonist Treatment – Hospital Pharmacy Registration form Opioid Agonist Treatment – Community Pharmacy Registration Form Pharmacy Alert – Law Enforcement (PDF) Pharmacy Closing Notification Wholesaler Pharmacist Register as a Pharmacist – Internationally Educated – A licensed pharmacist (or have graduated) outside Canada and the US (IPG) Register as a Pharmacist – Canadian Transfer – Already licensed as a pharmacist within Canada, but outside of NB Register as a Pharmacist – New Grad – Not yet licensed in Canada but have studied in Canada or the US (e.g., a new pharmacist graduate) Authorization to Administer Injections – Pharmacist Minor Ailments Declaration Pharmacy Technician Register as a Pharmacy Technician – Canadian Transfer – Already licensed in Canada, outside NB Register as a Pharmacy Technician – New grad – Not yet licensed in Canada Technical Permit to Administer Injections – Pharmacy Technician Students Register as a Pharmacist Student Register as a Pharmacy Technician Student Apprenticeship agreement Evidence of Time Service Jurisprudence Exam Application Student Scholarship / Bursaries J. Victor Robichaud Scholarship Application Form (PDF) Student bursary – form (PDF)
