REGULATIONS
Vol. 37 Iss. 13 - February 15, 2021

TITLE 18. PROFESSIONAL AND OCCUPATIONAL LICENSING
BOARD OF NURSING
Chapter 25
Forms

REGISTRAR'S NOTICE: Forms used in administering the regulation have been filed by the agency. The forms are not being published; however, online users of this issue of the Virginia Register of Regulations may click on the name of a form with a hyperlink to access it. The forms are also available from the agency contact or may be viewed at the Office of the Registrar of Regulations, 900 East Main Street, 11th Floor, Richmond, Virginia 23219.

Title of Regulation: 18VAC90-25. Regulations Governing Certified Nurse Aides.

Agency Contact: Elaine J. Yeatts, Agency Regulatory Coordinator, Board of Nursing, 9960 Mayland Drive, Suite 300, Richmond, VA 23233, telephone (804) 367-4688, or email elaine.yeatts@dhp.virginia.gov.

FORMS (18VAC90-25)

Instructions for Application for Nurse Aide Certification by Endorsement (rev. 1/11)

Application for Nurse Aide Certification by Endorsement (rev. 8/08)

Nurse Aide Certification Verification Form (rev. 11/07)

Instructions and Application for Certification as Advanced Certified Nurse Aide (rev. 8/07)

Instructions and Application for Reinstatement of Nurse Aide Certification (rev. 8/08)

Instructions and Application for Reinstatement of Advanced Nurse Aide Certification (rev. 8/07)

Application for Certification as a Nurse Aid by Examination, available online at https://www.dhp.virginia.gov/Boards/Nursing/PractitionerResources/Forms/

Application for Certification as a Nurse Aid by Endorsement, available online at https://www.dhp.virginia.gov/Boards/Nursing/PractitionerResources/Forms/

Application for Certification as an Advanced Certified Nurse Aide, available online at https://www.dhp.virginia.gov/Boards/Nursing/PractitionerResources/Forms/

Checklist Instructions Reinstatement of Nurse Aide Certification (rev. 4/2020)

Checklist Instructions Reinstatement of Advanced Nurse Aide Certification (rev. 4/2020)

VA.R. Doc. No. R21-6649; Filed January 24, 2021