Pharmacist CE – April 22, 2019

CE Required Documents – Pharmacy 

Important note: A downloadable version and online version are available for all documents EXCEPT the Pharmacist Statement of Attendance) 

  1. Pharmacy – Sign in Sheet – MUST put time in and time out  OR Online Sign In Sheet (select PharmD)
  2. Participant Profile – April 22 (downloadable) OR Participant Profile online version
  3. Program Evaluation – April 22 (downloadable) OR  Program Evaluation online version  
  4. Pharmacist Credit Claim Form – must submit for credit  (see details below) 

Reminder: All PharmD participants must indicate the “time in” and “time out” on their sign in sheet (both sign in versions give this option)

Note: Statement of Attendance MUST be printed and emailed, faxed or mailed to AGEC. Online participants may submit all required documents directly to AGEC.

In order to receive CE credit, the documents listed above must be filled out completely, and returned to the facility coordinator, upon check out, on the day of the event.

Facilitators may provide and collect paperwork, and send as a group attendance by email to Certificates will be provided after the AGEC has verified all documents for CE credit have been submitted.

Online or offsite participants MUST email this form to, or fax this form to 501-603-1966, within 5 business days of the event.  All other required paperwork must also be completed online or emailed/faxed with this CE form to receive credit.  All paperwork must be submitted within 5 working days of the seminar to receive CE Credit.

AGEC Contact Information:

4301 W. Markham St., #798

Little Rock, AR 72205

TEL: 501-603-1965

FAX: 501-603-1966


Accreditation Council for Pharmacy Education (ACPE)

These knowledge based activities will provide pharmacists up to 2.0 contact hours or 0.2

CEU. CE credit information, based on verification of live attendance and completion of the

program evaluation, will be provided to NABP within 60 days after the activity completion.