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

 

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Forms and Applications for State-Approved Training Programs

New Training Programs:

• Nurse Aide I Application(Updated July 2024)
• Geriatric Aide Application (Updated July 2024)
• Home Care Specialty Training for Nurse Aides Application (Updated July 2024)
• Clinical Site Approval Form (Updated July 2024)
• Course Schedule and Supplemental Teaching Methodology Form (Updated July 2024)
• Faculty Approval Requirements Form (Updated July 2024)
• Faculty Approval Request Form (Updated July 2024)
• Basic Equipment and Supply List (Updated July 2024)

Existing Training Programs:

• Reapproval Application (Updated July 2024)
• Nurse Aide I Refresher Application (Updated July 2024)
• Program Modification Application (Updated July 2024)
• Clinical Site Approval Form (Updated July 2024)
• Clinical Site Removal Form (Updated July 2024)
• Course Schedule and Supplemental Teaching Methodology Form (Updated July 2024)
• Faculty Approval Requirements Form (Updated July 2024)
• Faculty Approval Request Form (Updated July 2024)
• Faculty Removal Form (Updated July 2024)
• Basic Equipment and Supply List (Updated July 2024)

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• January 29, 2025
• N.C. Division of Health Service Regulation