Applications and Forms
Applications are valid for one year.
Pharmacists
Affidavit Regarding
Citizenship Pharmacy
Application For
Certification of DTMP
Nuclear Pharmacist
Application
Pharmacist Application
for Inactive Status
Pharmacist Online
Application Supplement Packet
Qualified Alien
Status Form GBP
Reciprocity Information
and Supplement Packet
Reinstatement -
Reactivation Application
Pharmacy Interns
Pharmacy Intern
Online Application Supplement Packet
Qualified Alien
Status Form GBP
Pharmacy Technicians
Affidavit Regarding
Citizenship Pharmacy
Pharmacy Tech
Online Application Supplement Packet
Pharmacy Technician
Additional Employment Form
Pharmacy Technician
Change of Employment Notification Form
Qualified Alien
Status Form GBP
Pharmacy Facilities
Affiliate Annual
Disclosure Statement Form
Durable Medical
Equipment Suppliers Facility Application
Low-THC Pharmacy
Dispensary Specialty Permit
Non-Resident Pharmacy
Facility Application
Non-Resident Pharmacy
PIC Change Form
Notice Form
for Authorized Collection
Pharmacy Facility
Pharm Tech Disassociation Form
Pharmacy Education & CE Programs
Application for
Pharmacy School License
CE Program
Application & Approval Form
Board Services, Requests, or Petitions
Duplicate Pharmacy
License - License Verification Order Form
Petition for
Pharmacy Variance or Waiver
Guidelines & Information
Instructions for
GBOP Background Check
Reciprocity Information
and Supplement Packet
Secure and
Verifiable Documents Under O.C.G.A. 50-36-2
Board Order Compliance Forms
Quarterly Reporting
Form - Employer