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[PDF File]Verification of Original Licensure form
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1 Texas Health and Human Services hhs.texas.gov List of States' Nurse Aide Registries ALABAMA Alabama Dept. of Public Health 201 Monroe St, Ste 710 Montgomery, AL 36104
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How Do I Find My CNA Certificate Number?
last name first name, mi certification # date of birth date of finding offense rivers joanne a00000402 05-may-1977 22-aug-2007 resident abuse sampong augusta a00083524 27-aug-1971 30-jun-2008 abuse of a vulnerable adult
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[PDF File]LAST NAME FIRST NAME, MI CERTIFICATION # DATE OF …
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Name as it appears on original license (Last, First, Middle, Maiden) P L City of Program State Date of Completion Original State of Licensure Issue Date of Original License Original License # Type of License RN LP/VN Current State of Licensure Issue Date of Current License Current License # Type of License RN LP/VN A P I C A N T
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[PDF File]List of States' Nurse Aide Registries
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INSTRUCTIONS FOR COMPLETING THE IOWA DIRECT CARE WORKER REGISTRY APPLICATION The Iowa Direct Care Worker Registry Application only needs to be completed in the following instances: 1. When a Direct Care Worker on the Registry has changed …
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[PDF File]INSTRUCTIONS FOR COMPLETING THE IOWA DIRECT CARE …
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Dear Certified Nurse Aide: In order to remain on the Registry and to be eligible to work in a licensed Medicaid & Medicare facility, you must meet the requirements for Re-Certification. Federal Regulations require that you must have worked as a CNA for ... duties, signature of employer, signature of LPN/RN and license number, time frame worked ...
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[PDF File]Verification of Current Nurse Assistant Certification
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CERTIFIED NURSE ASSISTANT (CNA) / HOME HEALTH AIDE (HHA) IN-SERVICE TRAINING / CONTINUING EDUCATION UNITS (CEUs) To assure the availability of trained personnel in Skilled Nursing (SNF) and Intermediate Care Facilities (ICF), the Legislature intends that all such facilities in California participate in approved training programs.
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[PDF File]Final Endorsement App- 10-13
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Dear Certified Nurse Aide: In order to remain on the Registry and to be eligible to work in a licensed facility, you must meet the requirements for re-certification. Federal Regulations require that you must have worked as a CNA for pay, a minimum of eight hours within the last 24 consecutive months under the supervision of a Registered Nurse.
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STATE OF GEORGIA NURSE AIDE REGISTRY NURSE AIDE ...
IMPORTANT INFORMATION FOR 2016 TO: All Certified Nurse Aides (CNA) FROM: ... the CNA will need to contact us at the number above. ... you must submit a copy of the legal document that changed your name, i.e. marriage license, divorce decree or court order. Be sure to include your certification number or SSN, address & phone number. We will ...
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[PDF File]IMPORTANT INFORMATION FOR 2016 - Headmaster
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VERIFICATION OF CURRENT NURSE ASSISTANT CERTIFICATION. ... CERTIFIED NURSE ASSISTANT (CNA) RECIPROCITY APPLICANTS FROM OTHER STATES. If the CNA certification is active and in good standing on another state's registry, applicant may qualify for certification in California without taking ... Verification of Current Nurse Assistant Certification
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STATE OF GEORGIA
List all CNA licenses (active, inactive or lapsed) License Type Date of Licensure Status of License and Expiry Date The Florida Board of Nursing requires verification of licensure from from a state where you have a current active license. Failure to disclose information in …
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Look up cna license number