Registration
Forum on Pharmacist Birth Control Services at APhA Annual Meeting (APhA meeting registration not required to attend this forum).

Sunday, March 24, 2019 from 3:30 to 5 pm at Washington State Convention Center in Seattle, WA.

Email address *
First name *
Your answer
Last name *
Your answer
Title *
Affiliation (employer or school) *
Your answer
State *
We would like an update from each state. Would you be able to provide an update or recommend someone else from your state (provide name and email) *
How did you hear about this Birth Control Pharmacist program? *
A copy of your responses will be emailed to the address you provided.
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