Form 1061 Family Planning Program Class D Pharmacy License Exemption Request - Texas

Form 1061 Family Planning Program Class D Pharmacy License Exemption Request - Texas

What Is Form 1061?

This is a legal form that was released by the Texas Health and Human Services - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 1061?
A: Form 1061 is a form used to request a Family Planning Program Class D Pharmacy License Exemption in Texas.

Q: What is the Family Planning Program Class D Pharmacy License?
A: The Family Planning Program Class D Pharmacy License is a license required to provide family planning services in a pharmacy in Texas.

Q: What is the purpose of the exemption request?
A: The exemption request is to request an exemption from the requirement to obtain a Family Planning Program Class D Pharmacy License.

Q: Who can request the exemption?
A: Any pharmacy in Texas can request the exemption.

Q: What is the process for requesting the exemption?
A: The pharmacy must complete and submit Form 1061 to the Texas Department of State Health Services.

Q: What information is required on Form 1061?
A: Form 1061 requires information such as the pharmacy's name, address, contact information, and reasons for requesting the exemption.

Q: Is there a fee for submitting Form 1061?
A: There is no fee required to submit Form 1061.

Q: How long does it take to process the exemption request?
A: The processing time for the exemption request may vary, but it typically takes a few weeks to receive a response.

Q: Can a pharmacy provide family planning services without the exemption?
A: No, a pharmacy is required to have a Family Planning Program Class D Pharmacy License or an exemption in order to provide family planning services in Texas.

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Form Details:

  • Released on January 1, 2017;
  • The latest edition provided by the Texas Health and Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 1061 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form 1061 Family Planning Program Class D Pharmacy License Exemption Request - Texas

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  • Form 1061 Family Planning Program Class D Pharmacy License Exemption Request - Texas, Page 1
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