3:23 PM 5/16/2023

Nurse Aide Renewal Form


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.

* 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 Aide Registry Website

v 1.38, 11/03/23