IV Therapy Endorsement
Please complete the following and submit. After you submit, please click the payment link to pay the fee.
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Email *
I understand that I am responsible to review the Missouri Nurse Practice Act and recognize the standards applicable to the IV Therapy practices for Missouri LPN's. The Nurse Practice Act can be found at https://www.sos.mo.gov/cmsimages/adrules/csr/current/20csr/20c2200-6.pdf

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Full Name (including middle): *
Complete address, including the city, state and zip code *
Mobile Phone Number (or primary) *
License # from Missouri: Type N/A here if you do NOT have a primary Missouri License.  *
License # and state of your primary multistate license if NOT Missouri: Type N/A if you are licensed in MIssouri. *
Please list the school where your LPN education was received. Once your application is processed, you will be required to send the syllabus, course description and an unofficial transcript. Once the endorsement is approved, you will be required to provide an official transcript. Type your initials to acknowledge understanding of this. *
Please list the school/training site where your IV Therapy Certification was received: *
Please review Chapter 6 in this linked document (Nurse Practice Act for Missouri) and type your initials and the last four of your social security number to identify that you have read and understand the restrictions and requirements for practicing IV Therapy in the state of Missouri.  *
IV Therapy Endorsement Fee *
Required
A copy of your responses will be emailed to the address you provided.
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