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DOH Form 422-067 Pharmacy Dispensing Record - Washington
What Is DOH Form 422-067?
This is a legal form that was released by the Washington State Department of Health - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DOH Form 422-067?
A: DOH Form 422-067 is the Pharmacy Dispensing Record used in Washington.
Q: Who uses DOH Form 422-067?
A: Pharmacies in Washington use DOH Form 422-067.
Q: What is the purpose of DOH Form 422-067?
A: DOH Form 422-067 is used to document information about prescriptions that are dispensed in a pharmacy in Washington.
Q: What information is recorded on DOH Form 422-067?
A: DOH Form 422-067 includes information about the prescription, the patient, the prescriber, and the dispensing pharmacy.
Form Details:
- Released on June 1, 2016;
- The latest edition provided by the Washington State Department of Health;
- 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 printable version of DOH Form 422-067 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.
