Fill out the form below and click the checkout button in the sidebar
Note: * fields are required.
PART 2 – ABOUT YOUR PRACTICE
What percentage of your pharmacy’s revenue or sales is from each of the following areas?
PART 3 – REVIEW OF SELECTED STANDARDS
Place click the appropriate box to indicate if you are currently adhering to this standard of practice. The College requires adherence to 80 percent of all standards for admission and no more than 2 variations from Type 1 standards. Standards 9, 11, 13, 17 and 18) are reviewed by the Regional Director, Admissions Committee, or their designated representative. I have read the Standards of Practice for ACA Fellows. I believe my practice adheres to at least 80 percent of the practice standards.
Note: Click Here to see the full list of Standards of Practice.
PART 4 – FELLOWSHIP CRITERIA
Please email Linda Cathey, ACA Director of Membership Services, at Linda@acainfo.org, the following items for your Fellowship Application:
A. Patient medication profile or computer generated profile.
B. Completed prescription label.
C. Sample of counseling materials used.
D. Sample of advertising or promotional materials used.
E. A photograph of you in your normal working attire.
F. A photograph each of the interior and exterior of your pharmacy.
G. A sketch of the layout of your pharmacy.
H. Please let us know how you heard about ACA.
Part 5 – Acknowledgements
This application must be accompanied by a non-refundable application fee of $350.00 which entitles you to the privileges of Fellowship for the remainder of this calendar year.
The College requires that once application is made and nominee status is attained, all requirements for Fellowship must be met within 12 months.
By submitting this application and related materials, I am requesting Full Fellowship status in the American College of Apothecaries. The information on this application accurately represents my practice. I believe that I share the aims of the College and request the Admissions Committee to begin the process of review in order that I may become a Full Fellow.