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.

* 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