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
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.
If you do not meet the following eligibility requirements, then you are not eligible for renewal. 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 by you were supervised by a Registered Nurse (RN).
You do not have a finding on the NC Health Care Personnel Registry associated with 42 CFR 483.12.
A registered nurse (RN) is required to verify your employment as a nurse aide. The RN who attests to your employment may be either a direct supervisor
or another RN who has access to your employment records. The RN does not verify competency in the renewal form.
You must notify a RN to complete the Online Employment Verification Form.
The FIRST and LAST NAME entered must match what is listed in the
NC 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.
Your NC Nurse Aide I Registry listing will be updated within 3-5 business days after the employment verification form has been submitted.
Contact the Registry Office if you have any questions about your renewal form.
* Denotes required fields
Registry Search
First Name:
*
Last Name:
*
Last 4 Digits of Social Security Number:
*
Date of Birth:
*
Nurse Aide Listing Number (6 digits):
*
Click the Submit button to proceed.
DHSR Nurse Aid Registry Website
v 1.38, 09/13/21