Get Certified Nurse Assistant (cna) And/or Home Health Aide - Regional ... - Regionaltestingcenter

Filling out the Certified Nurse Assistant (CNA) and/or Home Health Aide (HHA) application is a crucial step for individuals looking to serve in these essential roles. This guide provides detailed, step-by-step instructions to help users complete the application accurately and efficiently.

Follow the steps to complete your application online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin filling out your personal information. Start with the last name, first name, and middle initial. Ensure that the names are spelled correctly to avoid processing delays.
3. Indicate your sex by selecting either 'Male' or 'Female' as appropriate. This helps in accurate identification.
4. Provide your mailing address, including number and street or P.O. Box number, city, state, and zip code. This is essential for receiving notifications regarding your application.
5. Enter your date of birth, driver’s license or state ID number, and telephone number. Make sure to use a valid number where you can be reached.
6. Input your social security number (SSN). Note that your application will not be processed if an invalid SSN is provided.
7. Complete the physical attributes section, providing your height and weight, hair color, and eye color.
8. Respond to the questions regarding your criminal history. If you have been convicted of a crime, provide necessary details as requested.
9. Indicate whether you have had any adverse actions taken against your health-related licenses or certifications.
10. Specify your type of request - whether you are enrolling in CNA or HHA training, or if you are requesting reciprocity from another state. Complete the necessary training information.
11. If applicable, provide information regarding any name or address changes and submit legal verification if your name has changed.
12. Review all sections of the form to ensure that all applicable questions have been answered accurately.
13. Sign and date the application, certifying that the information provided is true and correct.
14. Finally, save changes to your application, then download and print a copy for your records, or share it as necessary.

Complete your application online today and take the next step in your nursing career!