Immunization Practice Starter Enrollment Form

This form will begin the enrollment process for Immunization Practice Starter.

The pharmacy will receive a DocuSign agreement to acknowledge the enrollment of the pharmacy and the understanding that the charge for the program will be added to the next McKesson invoice. After the signed agreement is returned, the pharmacy will be enrolled in the program. Course link and password will be provided on the program page. Program access is valid for 12 months. Please note links and passwords should not be shared. Doing so could result in loss of access to the program without a refund. And only administrators who are authorized to agree on the programs terms & conditions should sign the DocuSign below.

Contact Information

Please read and agree to the Immunization Practice Starter Program’s Terms & Conditions before submission.