Apply To Be A CPCS

Online CPCS Application 

 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)