Self-Inspection Forms

Self-Inspection Forms & Information

2024 Self-Inspection Forms

Completed self-inspection forms must be retained on-site at the drug outlet and be readily retrievable by a Board Compliance Officer.

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 Self-Inspection Forms

Additional Services Supplement self-inspection form
Compounding Pharmacy self-inspection form
Home Dialysis self-inspection form
Institutional Drug Outlet self-inspection form
Non-Resident Retail Drug Outlet self-inspection form
Nuclear Pharmacy self-inspection form
Pharmacy Prescription Kiosk self-inspection form
Pharmacy Prescription Locker self-inspection form
Remote Dispensing Site Pharmacy self-inspection form
Retail Drug Outlet self-inspection form

Non-Pharmacy Drug Outlet Self-Inspection Forms

Animal Euthanasia self-inspection form
Community Health Clinic self-inspection form
Correctional Facility self-inspection form
Dispensing Practitioner Drug Outlet self-inspection form
Wholesale Drug Outlet self-inspection form

Self-Inspection Form Feedback

Complete and submit the form below to submit feedback on current self-inspection forms.

PIC Resources

PIC Information

Outgoing PIC Change form

Incoming PIC Change form

Laws & Rules

Oregon Administrative Rules (OAR)/Oregon Revised Statutes (ORS)

Questions?

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