Form waiver offsite 2026

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  1. Click ‘Get Form’ to open the application for the waiver to store pharmacy records offsite in the editor.
  2. Begin by entering the name and address of your pharmacy in the designated fields. Ensure that all information is accurate to avoid processing delays.
  3. Fill in your pharmacy license number, followed by the address where the records will be stored. This is crucial for compliance with California regulations.
  4. Provide contact details, including telephone numbers for both the pharmacy and offsite location. This ensures that communication remains seamless.
  5. Complete the section regarding the person requesting the waiver, including their position within the pharmacy and their California pharmacist license number.
  6. Certify that all information provided is true by signing and dating the application. The pharmacist-in-charge must also sign to confirm compliance with regulations.

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