Extended Interns

Application for Extended Pharmacist-Intern (Word)

Application for Extended Pharmacist-Intern (PDF)

Hours Completion Form (PDF) This form is provided for documenting Intern hours completed by Student Interns or Extended Interns.

Extended Intern Name Change Form - Download a name change form to submit to the Board if your name has legally changed. Submission instructions are included on the form.

If you need replacement Extended Pharmacist-Intern documentation, email intern@pharmacy.texas.gov with your replacement request.

 

 

 

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For further information, contact the Pharmacist Licensing Division at 512/305-8000.