Medication Aide Long-Term Care Employment Verification by a Registered Nurse


Welcome! This form is designed to renew a Medication Aide registration in a Long-Term Care Facility only. This form DOES NOT renew a nurse aide registration.
This form DOES NOT renew a medication aide registration for Adult Care Facilities.
* Denotes required fields

Registry Search

First Name:     *
Last Name:     *
Last 4 Digits of Social Security Number:     *
Date of Birth:     *
Medication Aide Listing Number (6 digits):
(This is not the nurse aide listing number)
Click here to find the medication aide listing number. 
M   *           Click The Submit Button to Proceed.


Registration/Listing Period:      Registration Expiration Date:

DHSR Medication Aid Registry Website
v 1.10, 09/17/21