Self-Inspection Forms

Self-Inspection Forms & Information

Completed self-inspection forms must be retained on-site at the drug outlet and be readily retrievable by a Board Compliance Officer. *Please note that all 2021 Self-Inspection forms are now fillable!

The purpose of the self-inspection is to ensure the pharmacy is in compliance with all state and federal laws and rules governing the practice of pharmacy.

Pharmacy Drug Outlet Forms

Resident Retail/LTC/Home Infusion Pharmacy self-inspection form
Non-Resident Pharmacy self-inspection form
Hospital Pharmacy self-inspection form
Nuclear Pharmacy self-inspection form
Compounding Pharmacy self-inspection form

Non-Pharmacy Drug Outlet Forms

Community Health Clinic self-inspection form
Dispensing Practitioner Drug Outlet self-inspection form
Supervising Physician Dispensing Outlet self-inspection form
Correctional Facility self-inspection form
Wholesaler self-inspection form

PIC Resources

PIC Information

Outgoing PIC Change form

Incoming PIC Change form

Laws & Rules

Oregon Administrative Rules (OAR)/Oregon Revised Statutes (ORS)
Download a copy of Oregon Laws & Rules

Questions?

Email all Self-Inspection inquiries to pharmacy.compliance@bop.oregon.gov