Forms and Publications
Consumers
Applicants
- Application for Psychiatric Technician Licensure by Examination
- Application for Vocational Nurse Licensure by Endorsement
- Application for Vocational Nurse Licensure by Examination
- Authorization for Release of Confidential Information – (55P–6)
- Authorization for Release of Confidential Medical Records and Information – (55P–5)
- PT Employment Verification
Licensees
- Address Change Request Form – (55P–4)
- Application for Renewal
- Employer Mandatory Reporting Form
- Employment Verification – Nursing Experience – (55A–12)
- Fee Schedule
- Licensee Mandatory Reporting Form
- Name and Gender Change Notification and Request for Confidentiality (SB 372, 2023)
- Name Change Request Form – (55P–3)
- Notice on Collection of Personal Information For Applicants and Licensees
Education
- 55M–1 Letter of Intent to Submit Application for Initial Approval of New School or Program Vocational Nursing
- 55M–2 Application for Approval of New School or Program of Vocational Nursing
- 55M–2E Summary of Instructional Plan Program Hours Vocational Nursing Program
- 55M–2W Vocational Nursing or Psychiatric Technician Program Curriculum Content Instructional Plan
- 55M–3 Intent for Clinical Facility Placement
- 55M–3A Clinical Facility Verification Form VN
- 55M–10 Verification of Faculty Qualifications Form
- 55M–15 Continuing Approval Application for a Vocational Nursing School or Program
- 56M–1 Letter of Intent to Submit Application for Initial Approval of New School or Program Psychiatric Technician
- 56M–2 Application for Approval of a New Psychiatric Technician School or Program
- 56M–2E Summary of Instructional Plan Program Hours Psychiatric Technician Program
- 56M–3A Clinical Facility Verification Form PT
- 56M–15 Continuing Approval Application for a Psychiatric Technician School or Program
Enforcement
- How To File A Complaint
- Employer Mandatory Reporting
- How an Arrest Affects Your License
- Licensee Mandatory Reporting