Self-Assessment Forms

California State Board of Pharmacy | Self-Assessment Forms

The Board has updated their Self-Assessment Forms webpage.

They’ve removed some draft forms, and added some new “Current Adopted Self-Assessment Forms.”

Wholesaler Self-Assessment (17M-26, Rev. 1/22)

The hyperlink name of the form is misleading.

When you open up the form, here’s the official name of the form, “Wholesaler/Third-Party Logistics Provider Self-Assessment.”

Apply for a Personal License

I’ve posted this link in case you’re looking for a California Designated Representative license application form.

Contact us if you have a question.


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