North Dakota Nurse Aide Registry
REGISTRY ANNOUNCEMENT OF CHANGES
Link to Announcement (pdf)
- Certified Nurse Aide Information - click this link to get to the CNA information page
Applications
- Certified Nurse Aide (CNA) Renewal Form - Form SFN 59967 (R3-2015) - NOTE: no card printed, see Registrant Card link to print one
- Certified Nurse Aide (CNA) and Medication Assistant I or II (MA I or II) Renewal Form - Form SFN 59966 (R2-2012) - NOTE: no card printed, see Registrant Card link to print one
- Certified Nurse Aide Registry Endorsement - Form SFN 50645 (R14-2017) - NOTE: no card printed, see Registrant Card link to print one
In an effort to improve the Nurse Aide Registry services, as of May 1, 2017 we will be following NDAC rules 33-43-01 and will not be refunding submitted registry fees. For example, when one check is submitted to pay for ten applicants and one applicant cannot be processed, all fees will be kept and nine applicants will be processed. A notice rejecting the one applicant will be sent with an additional fee required to pay for the application fee. NOTE: No card will be printed, see Registrant Card link to print one.
Applications
- Home Health Aide (HHA) Initial Application - Form SFN 59960 (R2-2012)
- Home Health Aide (HHA) Renewal Application - Form SFN 59963 (R2-2012)
In an effort to improve the Nurse Aide Registry services, as of May 1, 2017 we will be following NDAC rules 33-43-01 and will not be refunding submitted registry fees. For example, when one check is submitted to pay for ten applicants and one applicant cannot be processed, all fees will be kept and nine applicants will be processed. A notice rejecting the one applicant will be sent with an additional fee required to pay for the application fee. NOTE: No card will be printed, see Registrant Card link to print one.
Applications
- Nurse Aide (NA) Initial Application - Form SFN 59961 (R3-2016)
- Nurse Aide (NA) Renewal Application - Form SFN 59964 (R2-2012)
- Nurse Aide (NA) and Medication Assistant I (MA I) Renewal Application - Form SFN 59965 (R2-2012)
In an effort to improve the Nurse Aide Registry services, as of May 1, 2017 we will be following NDAC rules 33-43-01 and will not be refunding submitted registry fees. For example, when one check is submitted to pay for ten applicants and one applicant cannot be processed, all fees will be kept and nine applicants will be processed. A notice rejecting the one applicant will be sent with an additional fee required to pay for the application fee. NOTE: No card will be printed, see Registrant Card link to print one.
Applications
-
Initial Medication
Assistant (MA) Application
- Form SFN 59962 (R2-2012)
- NOTE: Before you can become a MA I on the ND registry, you must first be either an "active" NA or an "active" CNA
- NOTE: Before you can become a MA II on the ND registry, you must first be an "active" CNA
- Medication Assistant I and II NDAC 33-43-01
- Medication Assistant I Scope of Delegated Medication Administration
- Medication Assistant II Scope of Delegated Medication Administration
- Medication Assistant Training Program Application
For more information contact the CNA Registry at naregistry@nd.gov
600 E. Boulevard Ave., Dept. 301
Bismarck N.D., 58505-0200
Phone : 701.328.2353
Fax: 701.328.1890