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[PDF File]INSTRUCTION / INFORMATION SHEET MEDICATIONAIDE
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INSTRUCTION / INFORMATION SHEET The following materials are required to make application for a Medication Aide license in Illinois: 1. You must hold current certification as an Illinois certified nursing assistant (CNA). The Department will verify your certification with the Illinois Department of …
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[PDF File]Nursing Assistant Certified Endorsement Application
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• Verification of current nursing assistant certification from the state you’re coming from. Complete part one of the Out-of-state Verification Form and send it to the state you are endorsing from. That state will complete section two of the verification form and mail it directly to …
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[PDF File]How to Request a Certification of Licensure
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Springfield, Illinois 62786-7046 Please include your name, address, license number, social security number, date of birth, and the name and address of the State Board where you want the certification sent, along with the required fee listed below. Certification fees in the form of a check or money order payable to the Department of Financial
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[PDF File]Out of State Nurse Application - Illinois Department of ...
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stating that you do not meet the requirements. Illinois does not issue any credentials or certificates to CNAs. Incomplete applications will be returned to the address provided. Out-of-State Nurse Aide Application to Become an Illinois Certified Nurse Aide (CNA) Southern Illinois University Nurse Aide Tes …
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[PDF File]Certified Nurse Assistant (CNA) Initial Application
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CERTIFIED NURSE ASSISTANT (CNA) INITIAL APPLICATION (See instructions PHONE:on the reverse) ... If the CNA certification is active and in good standing on another state's registry, the applicant may qualify for certification in the State of California without taking ... A completed Verification of Current Nurse Assistant ertification (CDPH 931 ...
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[PDF File]PLEASE PRINT OR TYPE REQUEST TYPE: CNA Address …
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CDPH for internal identification, and may be used to verify information on your application, to verify certification with another state's certification authority, for exam identification, for identification purposes in national disciplinary data bases or as the basis of a disciplinary action against you.
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[PDF File]ILLINOIS NURSE ASSISTANT/AIDE TRAINING PROGRAM …
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instructor level from a nationally recognized program. Online CPR certification is considered valid only with verification that both the cognitive skills and manual skills demonstration portions have been successfully completed. Mail to: Illinois Department of Public Health Education and Training Unit Jennifer Kempiners, RN, PSA
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[PDF File]HAT IS MY CERTIFICATE NUMBER CAN I GET A COPY OF MY …
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the application and attach a Registry Verification Letter to show your CNA Illinois certification status. Other states require you to complete the application and return it to that state. That state will then contact the Illinois HCWR for verification of your CNA certification status. DO I LOSE MY ILLINOIS CERTIFICATION IF I TRANSFER TO ANOTHER ...
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[PDF File]Out-of-State Nurse Aide Application to Become an Illinois ...
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Out-of-State Nurse Aide Application to Become an Illinois Certified Nurse Aide (CNA) Illinois Department of Public Health Health Care Worker Registry, 525 W. Jefferson St., Springfield, IL 62761 Phone 217-785-5133 Fax 217-524-0137 E-mail DPH.HCWR@Illinois.gov All information requested on this application must be provided before you will be ...
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[PDF File]Frequently Asked Questions: Certified Nurse Aides
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Frequently Asked Questions: Certified Nurse Aides . 1. How do I change my name on my Nurse Aide Registry? To have your name changed you must submit a written request to have your name changed on the registry. The request must include the following: • Official name change document such as a marriage certificate or divorce decree
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Cna certification verification illinois