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PETITION TO WASHINGTON STATE BOARD OF PHARMACY I SUPPORT THE RIGHT OF A PHARMACIST TO REFUSE TO PARTICIPATE IN DISPENSING A PRESCRIPTION IF DOING SO WOULD VIOLATE THE PHARMACIST’S ETHICAL, MORAL OR RELIGIOUS BELIEFS. NAME ADDRESS CITY __________________ _____________________________________ ____________ __________________ _____________________________________ ____________ __________________ _____________________________________ ____________ __________________ _____________________________________ ____________ __________________ _____________________________________ ____________ __________________ _____________________________________ ____________ __________________ _____________________________________ ____________ __________________ _____________________________________ ____________ __________________ _____________________________________ ____________ __________________ _____________________________________ ____________ __________________ _____________________________________ ____________ __________________ _____________________________________ ____________ __________________ _____________________________________ ____________ __________________ _____________________________________ ____________ __________________ _____________________________________ ____________ __________________ _____________________________________ ____________ __________________ _____________________________________ ____________ __________________ _____________________________________ ____________ __________________ _____________________________________ ____________ Please returned signed petitions to Theresa Schrempp, 3841 48th Avenue NE, Seattle, WA 98105, by August 28, 2006. |