Forms STUDENTS Register as a Pharmacist Student Register as a Pharmacy Technician Student Apprenticeship agreement Evidence of Time Service Jurisprudence Exam Application MISCELLANEOUS Letter of Standing Request Name Change Request – Registrant Nomination to council (PDF) Replacement Certificate Request Status Change Notification Returning to Active Practice: Direct Client Care Register 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 CONSCIENTIOUS OBJECTION Conscientious Objection Action Plan 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 CONTINUING EDUCATION Form M – Continuous Professional Development Learning Project – Record Sheet (PDF) Form N – Continuous Professional Development Log (PDF) PHARMACIES Central fill pharmacy agreement notification form (PDF) Change of Location Change of Name – Pharmacy (PDF) Change of Ownership (PDF) Change of Pharmacy Manager COVID-19 Notification of Temporary Pharmacy Closure (PDF) 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 System (PDF) Pharmacy Closing Notification Wholesaler COLLABORATIVE PRACTICE Collaborative Practice Application Form (PDF) Collaborative practice sample agreement group (PDF) Collaborative practice sample agreement individual (PDF) Request for Letter of Collaboration Collaborative Practice (PDF) Student Scholarship / Bursaries J. Victor Robichaud Scholarship Application Form (PDF) Student bursary – form (PDF)
