Immunization Collaborative Agreement
Collaborative Agreement for Immunizations/ __________________________________ RPh/PharmD and ________________________________________ ________________________, MD/ , _____________________________ MD/ARNP/DO licensed in the State of Washington, do hereby authorize ______________________________, of ___________________________Pharmacy to prescribe and administer the vaccines listed in the protocol to infants, children and adults in accordance with RCW and WAC 246-863-100 of the State of Washington. In exercising this authority the pharmacists shall comply with the recommendations of the Advisory Committee on Immunization Practices (ACIP). The Pharmacist will document all vaccines administered as required by statute, and on each patient s personal Immunization record.
Immunization Collaborative Agreement The Collaborative Drug Therapy Agreements consist of an authorizing document and a protocol describing the activities of the pharmacist.
Download Immunization Collaborative Agreement
Information
Domain:
Source:
Link to this page:
Please notify us if you found a problem with this document:
Related search queries
Collaborative Practice Agreement Template, Collaborative Practice Agreement, Practice, Guidance on Practice Agreements, Practice agreement, Agreement, Practice Agreement Template, Sample Collaborative Agreement, Collaborative, St. Luke’s Hospital, Collaborative Agreement template, Clinic or physician letterhead, Nevada State Board of Nursing, Collaborative Agreement, ProviDRs Care Network, Little Rock, Collaborative Drug Therapy Agreement, Authorization for collaborative practice, Louisiana State Board of Nursing