Washington state nursing license application

    • [DOC File]State of Washington

      https://info.5y1.org/washington-state-nursing-license-application_1_178b89.html

      The laws and rules require that you complete a Renewal Application at least once every six years. Complete both sides of this form and file the renewal application packet with your County Assessor before the date on the enclosed cover sheet. For assistance in completing this form, contact your County Assessor’s office.

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    • [DOC File]Caregiver Employment Application

      https://info.5y1.org/washington-state-nursing-license-application_1_6bd1ae.html

      School Type School Name City, State Major/Subject # Yrs Attended Graduate High School Y / N Vocational/Technical Y / N College/University Y / N *For employment our minimum education requirement is either a GED or High School diploma. WORK HISTORY. Your application will not be considered unless all questions in this section are answered.

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    • [DOC File]State of Washington

      https://info.5y1.org/washington-state-nursing-license-application_1_889667.html

      A copy of your driver’s license or state issued photo id. A copy of your voter registration. A copy of your birth certificate. If your eligibility is based on a disability, a copy of your disability award letter from SSA or VA, or a Proof of Disability statement completed and submitted by your physician.

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    • [DOC File]Cover letter – Initial License or Initial License with ...

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      Initial License or Initial License with Medicaid Contract. Nursing Home License Application. Nursing Home License Fee is $359 / bed. If no check is included, the application will be returned. Make check or money order payable to Washington State Treasurer.Refer to application packet cover letter for application mailing addresses.

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    • [DOC File]Application Types - Washington State Department of Social ...

      https://info.5y1.org/washington-state-nursing-license-application_1_1a5470.html

      This application is used when an applicant who does not hold a current State of Washington nursing home license wants to become the licensed operator of a currently licensed nursing home. It would not be used by an affiliate of an entity holding a current State of Washington nursing home license even if the applicant is a newly formed entity.

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    • [DOCX File]STATE OF WASHiNGTON

      https://info.5y1.org/washington-state-nursing-license-application_1_befd11.html

      at the Washington State Department of Health at (360) 236-2955. Funds awarded through this grant process may be contingent on receiving a Certificate of Need, if required for your facility. If a Certificate of Need is required for your facility, please start the application process with the Department of Health as soon as possible.

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    • [DOC File]RESIDENT ADMISSION AGREEMENT - Washington

      https://info.5y1.org/washington-state-nursing-license-application_1_08d7eb.html

      This document is a summary of state law. Please review the specific law and regulations for a complete understanding of resident’s rights in Washington State Long-Term care Facilities. Residents may review a photocopy of the state law, Chapter 70.129 RCW upon request at the Long term Care facility.

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    • [DOC File]Washington Practitioner Application

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      To use the Washington Practitioner Application (WPA), follow these instructions: Keep an unsigned and undated copy of the application on file for future requests. When a request is received, send a copy of the completed application, making sure that all information is complete, current and accurate. Please sign and date pages 12 and 14.

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    • [DOCX File]Nursing Education Program Approval Application Packet

      https://info.5y1.org/washington-state-nursing-license-application_1_745402.html

      to approve and review nursing assistant training program instructional staff in the state of Washington. This application is for Registered Nurses or Licensed Practical Nurses (for non- medication assistant programs) who will be the theory and/or laboratory and/or clinical instructor in an approved nursing assistant training program.

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    • [DOCX File]Nursing Education Program Approval Application Packet

      https://info.5y1.org/washington-state-nursing-license-application_1_aa3dc5.html

      to approve and review nursing programs in the state of Washington. The commission also approves and reviews distance learning nursing programs that have students in practice experiences in Washington State as required under . RCW 18.79. When the commission receives the application for a nursing education program it will be reviewed.

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