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.
Extended Intern Name Change Form - Download a name change form to submit to the Board if your name has legally changed. Submission instructions are included on the form.
If you need replacement Extended Pharmacist-Intern documentation, email intern@pharmacy.texas.gov (opens email application) with your replacement request.
For further information, contact the Pharmacist Licensing Division at 512/305-8000.





