• Most of the documents on our web site are in PDF format.
• You will need Adobe Acrobat Reader to view and print these documents.
• We recommend that you download the latest version for best results.
• For your convenience, our forms have been broken into two categories:

• Permits and Licenses
• Training Materials

Health Insurance Portability and Accountability Act (HIPAA) Forms

• HIPAA Form- English
• HIPAA Form- Spanish

Closed POD Documents

Please fillout the following forms and email/fax back in a promptly manner.

• Closed POD Dispensing Plan
• Closed POD Facility Information
• Closed POD Medication Reciept Form
• Closed POD Operational Plan Instructions
• Closed POD Response Facility Operational Plan