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Long-Acting Injectables Training Program Interest Form
Not an OPA Member? - Join now at
www.ohiopharmacists.org/Join
Please note:
current OPA members have preferred registration status for this and other programs with limited seating. Thank you for your interest!
In order to facilitate Ohio pharmacists' ability to broaden their scope of practice, OPA plans to continue to offer this valuable program.
If you are interested in attending a future
Long-Acting Injectables
training program, please complete the following form. This information will be used to contact you when the next program is scheduled.
First Name
Last Name
Home Address
Home City
Home State
Home Zip
Primary
Email Address
(Notices about upcoming training programs will be sent to this email address.)
I am interested in attending a future
Long-Acting Injectables
training program.
Comments
Please note that current OPA members have preferred registration status for this and other programs with limited seating. Thank you for your interest!
- denotes required fields
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