Joint Providership Agreement - Individual Accreditation

Complete this form if event consists of more than one activity and you are: ACCREDITING ACTIVITIES INDIVIDUALLY.

Complete this agreement and submit it to Michigan Pharmacists Association (MPA) a minimum of 45 days prior to the activity date. This joint providership agreement between the MPA and the Hosting Organization defines the relationship between the two parties regarding the activity or event listed below
and is consistent with standards for continuing pharmacy education.