Nevada State Board of Nursing
". . . protecting the public's health, safety and welfare 
through effective nursing regulation . . ."

Forms

• AA/NA attendance form

• Advisory committee application

• Alternative program brochure

• APN application instructions

• APN controlled substances fact sheet

• APN initial application

• APN dispensing privileges application

• APN prescribing privileges application

• APN protocol guidelines

• APN sample collaborative agreement

• APN student/clinical supervisor verification

• Board meeting attendance report form

• Bulk application request form

• CE provider application

• Certified copy form

• CNA initial application and instructions

• CNA (initial) supervisor report form

• CNA supervisor report form

• CNA endorsement form

• CNA instructor renewal application

• CNA renewal application

• CNA skills guidelines

• CNA state nurse aide registry 

• CNA training programs

• Complaint report form

• Consumer brochure 

• Complaint fact sheet for consumers

• Complaint fact sheet for nurses and CNAs

• Counselor report form

• CRNA initial application

• Customer fingerprint form

• EMS-RN initial application

• Fingerprint instructions

• Fingerprinting locations

• Mailing list application

• Nurse (initial) supervisor report form

• Nurse supervisor report form

• Physician report form

• RN/LPN application and instructions for license by endorsement

• RN/LPN application and instructions for license by examination

• RN/LPN application--additional information for international applicants

• RN/LPN endorsement form

• RN/LPN renewal application

• Name change form

• Scope of practice decision tree

• Self report form (chemical dependency)

• Self report form (practice)

• Sponsor report form

• Support group attendance form

• Third-party authorization form