Apply To Be A CPCS

Online CPCS Application 


(Please read the Guidelines-its short and easy, and will help get you get your application processed faster) 

 The CPCS Application form is available online (faster) or below in doc and pdf formats.

Application Forms
docx PDF

Please allow up to 7-10 days for a completed application to be reviewed. (application, documentation, personal references, etc)

Use the online form for faster review  CLICK HERE 


Please make sure your personal references are mailed to:  

LPCA CPCS, 3091 Governors Lake Dr. NW, STE 570, Norcross, GA 30071

Or submit the word doc or pdf application to:  or FAX to  (404) 475-2014 (Only for CPCS use)