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California self assessment 2026
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- Click ‘Get Form’ to open the California Self Assessment in the editor.
- Begin by entering your pharmacy name, address, and contact information in the designated fields at the top of the form.
- Indicate your ownership type by selecting one of the options provided (Sole Owner, Partnership, Corporation, LLC) and fill in any additional details as required.
- Complete Sections 1 through 8 by answering each question with a 'Yes', 'No', or 'N/A'. If you select 'No', provide an explanation in the 'CORRECTIVE ACTION OR ACTION PLAN' section at the end of each section.
- Ensure that all necessary signatures are obtained from both the pharmacist-in-charge and the owner or hospital administrator at the end of the document.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2012 | 4.9 Satisfied (499 Votes) |
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