Forms

 *PLEASE READ IMPORTANT NOTICE BELOW*
We will be launching the Nevada Nurse Portal that allows Nevada licensees/certificate holders and prospective applicants to manage their  initial and renewal applications online, submit requests electronically and view their license/certificate status. Click here for more information.

Once the Nevada Nurse Portal is available, you will no longer submit paper applications. Applications will be submitted via the Nurse Portal. 

Probation/Monitoring

AA/NA attendance form

After Care form
CNA (initial) supervisor report form
CNA supervisor report form
Licensed Counselor Report
Nurse (initial) supervisor report form
Nurse supervisor report form
Physician report form
Self report form (substance use disorder)
Self report form (practice)
Sponsor report form
Support group attendance form

Complaint Forms

Complaint report form

Brochures

Alternative program brochure

Consumer brochure
Complaint fact sheet for consumers
Complaint fact sheet for nurses and CNAs

Resources

CNA skills guidelines

CNA state nurse aide registry
CNA training programs
Criminal Convictions
Scope of practice decision tree

Committees

Advisory committee application