All applications for immunization certification shall be made on board approved form DH-MQA 1125, “”Immunization Administration Certification Application,”” 10/2022, which is hereby incorporated by reference. To obtain an application, contact the Board of Pharmacy at 4052 Bald Cypress Way, Bin #C04, Tallahassee, FL 32399-3254, or (850)245-4474, or download the application from the Department of Health’s website at http://floridaspharmacy.gov/, or at http://www.flrules.org/Gateway/reference.asp?No=Ref-15212. The application must be accompanied with a non-refundable application fee, if applicable, as set forth in Fl. Admin. Code R. 64B16-26.1001
Rulemaking Authority 465.005 FS. Law Implemented 465.0635, 465.014(7), 465.189 FS. History-New 9-21-10, Amended 8-13-13, 4-4-16, 8-20-17, 12-29-21, 7-11-22, 3-20-23.

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