KPhA Pharmacy Technician Immunization Training Request
Please fill this form out whenever you have a new technician that needs immunization training - we will collect the responses and work to schedule a training as soon as we have 10-15 ready and waiting.
Name of technician to be trained
*
First Name
Last Name
Contact email - whoever wants to be notified when the class is scheduled
*
example@example.com
Pharmacy name
*
Submit
Should be Empty: