Extended Interns

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.

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For further information, contact the Pharmacist Licensing Division at 512/305-8000.