New Mexico Department of Health New Mexico Nurse Aide Training and Registry RECIPROCITY FORM Email, Fax or send via mail to: Delfinia Sandoval, CNAR Coordinator Division of Health Improvement 2040.

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How to fill out the New Mexico Nurse Aide Training and Registry online

This guide provides comprehensive and user-friendly instructions for completing the New Mexico Nurse Aide Training and Registry form online. Follow these steps to ensure a smooth and successful application process.

Follow the steps to complete the reciprocity form accurately.

  1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
  2. Provide your full name in the designated field, including your first, middle, and last names. If there has been a name change, include supporting documents such as a marriage license or divorce decree.
  3. Enter your email address in the appropriate section to ensure effective communication.
  4. List two contact phone numbers in the respective fields, ensuring that both are current to facilitate contact if needed.
  5. Complete your permanent mailing address, and if applicable, include your P.O. Box information.
  6. Attach a copy of your driver’s license or identification that includes your date of birth. Ensure this document is clear and legible.
  7. Include a copy of your Social Security card. This document should also be attached in a legible format.
  8. Provide a copy of your current, active certification(s), which must be in good standing. Make sure this copy is clear as well.
  9. Review all filled-out sections and ensure that all required documents are attached. Once reviewed, save your changes.
  10. Download, print, or share the filled form as needed. Ensure all copies submitted are legible.

Start your application process by completing the New Mexico Nurse Aide Training and Registry form online today.

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New Mexico Nurse Aide Training And Registry Form

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