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Uninsured Care Programs. Assignment of Benefits (PDF) Addendum to Home Care (PDF) Home Health Certification and Plan of Treatment (PDF) Nursing Assessment for Home Care (PDF) Home Care DME Prior Aproval Request AI-3615 (PDF) Required HIV Related Consent & Authorization Forms. Expanded Syringe Access Program (ESAP) Forms.
- Hiv/Aids Educational Materials Order Forms
Department of Health. The New York State Department of...
- FAQ
A1. Only persons who have completed the New York State...
- Applications for Entities
NEW YORK STATE DEPARTMENT OF HEALTH Asbestos Safety Training...
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You are Here: Home Page > Forms > Revised Page 4 for...
- Division of Managed Care Forms
Division of Managed Care Forms. Contact OMC for assistance...
- Emergency Pesticide Application Notification Exemption Reporting Form
The Department of Health will then determine if an emergency...
- Required HIV Related Consent & Authorization Forms
Authorization for Release of Health Information (Including...
- Novel Coronavirus
Beginning in September 2021, the New York State Department...
- Hiv/Aids Educational Materials Order Forms
Lists of approved LPN and RN programs can be found below. Avoid a costly mistake and make sure your educational institution is an approved program of nursing study before you enroll.
If you are applying for licensure as a licensed practical nurse and you did not graduate from a New York State approved nursing program, you must include a copy of your high school or secondary school diploma or transcript in the original language with your Form 1.
Check the Status of a Licensure Application. Advisory Notices: For recent news and alerts please visit our ADVISORY NOTICE PAGE.
10 sty 2011 · Review the requirements, Frequently Asked Questions, and the list of additional necessary forms that you will be required to complete for licensure as a Licensed Practical Nurse. Please take a moment to review the list of necessary information you will need to complete this initial application form.
Permits, Licenses & Certifications issued by the New York State Department of Health or related agencies.
Nurses that provide care under the supervision of a Registered Nurse or physician must be licensed in New York State. Licensed Practical Nurses have licenses from the NYS Department of Education (NYSDOE). Applicants must meet educational requirements and pass an exam.