3:23 PM 5/16/2023

Nurse Aide Renewal Form

Overview

Welcome! This form is designed to renew your NURSE AIDE I registration only. This form DOES NOT renew your medication aide registration for employment in a long-term care facility.

There is no fee required to complete the online renewal form.
You must meet the following eligibility requirements to renew. Nurse Aides working in a non-nursing home setting are responsible for making sure their job duties qualify for renewal.
- Performed at least eight (8) hours of nursing or nursing-related services for pay within your current registration/listing period.
- The nursing or nursing-related services performed were delegated and supervised by a Registered Nurse (RN).
Private duty employment does not meet the qualifications for renewal. A Nurse Aide hired by a licensed healthcare facility or agency to provide nursing or nursing-related services in the home is not considered private duty employment for renewal.
A Registered Nurse (RN) is required to verify employment for a Nurse Aide to be renewed in the North Carolina Nurse Aide I Registry. The RN may be either a direct supervisor or another RN who has access to employment records and can verify that the Nurse Aide meets the requirements for renewal. Work that the Registered Nurse cannot support with written documentation or facility records, or by personal supervision on (and thereby knowledge of) the employment date does not meet the requirements for renewal.
The Registered Nurse (RN) does not verify competency during the renewal process.
You must notify a Registered Nurse (RN) to complete the Online Employment Verification Form.
The FIRST and LAST NAME entered must match what is listed in the North Carolina Nurse Aide I Registry, including hyphens and suffixes. Please do not include apostrophe’s when entering your FIRST and LAST NAME. If your name is incorrect, please contact the Registry Office.
A North Carolina Nurse Aide I Registry listing will be updated within 3-5 business days after the Online Employment Verification Form has been submitted by the Registered Nurse and approved by DHSR.
Contact the Registry Office if you have any questions.

* Denotes required fields

Registry Search

First Name:	*
Last Name:	*
Last 4 Digits of Social Security Number:	*
Date of Birth:	* Please enter a valid date.
Nurse Aide Listing Number (6 digits):	* Click the Submit button to proceed.

N.C. Department of Health and Human Services
Division of Health Service Regulation
Health Care Personnel Education and Credentialing Section

Nurse Aide Renewal Form

Overview

Registry Search

DHSR Nurse Aide Registry Website

v 1.38, 11/03/23

N.C. Department of Health and Human Services Division of Health Service Regulation Health Care Personnel Education and Credentialing Section

Nurse Aide Renewal Form

Overview

Registry Search

DHSR Nurse Aide Registry Website

v 1.38, 11/03/23

N.C. Department of Health and Human Services
Division of Health Service Regulation
Health Care Personnel Education and Credentialing Section