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BOX 6609 HELENA MT 59604 TELEPHONE: 800-393-8664 FAX: 406-442-3357 EMAIL: hdmaster hdmaster.com WEB SITE: www.hdmaster.com NURSE AIDE WRITTEN TEST PROCTOR (WTP) Arkansas CONFIDENTIALITY/NONDISCLOSURE AGREEMENT I acknowledge the confidential nature of the nurse aide competency examinations, the materials for the written examinations and the processes, procedures and content of the written examination. I agree to safeguard the confidentiality of all information about the nurse aide competency exa.

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  1. Click the ‘Get Form’ button to obtain the D S Headmaster form and access it in your online editor.
  2. Begin by entering your personal information in the designated fields. Provide your last name, first name, and middle name as required in the personal information section.
  3. Input your Social Security Number following the specified format. Ensure that all characters are entered accurately to avoid any issues with processing.
  4. Enter your email address in the corresponding field. Make sure to use a valid email that you check regularly, as it may be required for future correspondence.
  5. Fill in your address, including street, city, state, and zip code. This information is crucial for identification and communication purposes.
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  7. Affix your signature in the designated signature box and date the form as required. Your signature indicates your agreement and understanding of the terms outlined.
  8. Complete the Written Test Proctor Training Affidavit, ensuring you acknowledge your understanding of the guidelines and requirements. Sign and date this section as well.
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The Wisconsin Department of Health Services (DHS) requires 120 hours of training with 32 clinical hours. Age. To qualify for certification, you must be at least 18.

The written exam includes 60 questions and you have two hours to answer them. Content topics include: Injury prevention, safety and emergencies. Prevention and control of infection.

If you fail either test component, you must apply to retake the test you failed. You can test as many times as needed within one year the date you finished your training program. After one year, you must complete another training program to be eligible for further testing. DHS must approve the training program.

Test Content: The Certified Nurse Aide Test has two parts, a written section and a skills evaluation. Both parts must be passed to be listed on the Tennessee Nurse Aide Registry. The written section is 75 questions in length. You will have 90 minutes to complete the exam and must receive a 75% to pass.

Complete a Wisconsin Nurse Aide Registry Renewal Form, F-03211 (PDF) and give to your employer to complete Section 2. Return the completed form via fax to 608-226-5524 or email dhswidqa_natcep@dhs.wisconsin.gov .

Q-Chat Skill 1 Hand washing. Don't re-contaminate. Skill 2 Ambulation with a gait belt. Lock bed brakes. ... Skill 3 Ambulation with walker. Lock bed brakes. ... Skill 4 Backrub. Raise opposite side working rail. Skill 5 Bedpan and Output. ... Skill 6 Blood pressure. ... Skill 7 Catheter Care. ... Skill *8 Denture care.

The CNA Certification Exam Wisconsin Knowledge Test evaluates nursing care knowledge through 75 multiple-choice questions. It covers areas like safety, communication, infection control, and personal care. Candidates can take it orally or electronically, with a passing score of 71% required.

If you have questions, call HEADMASTER toll-free at 888-401-0465.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232