Get Tx 5514-natcep 2022-2025

The TX 5514-NATCEP form is essential for those wishing to apply for the Nurse Aide Training and Competency Evaluation Program in Texas. This guide provides clear instructions on how to fill out the form effectively and ensure all necessary information is included.

Follow the steps to complete the TX 5514-NATCEP form online.

1. Click ‘Get Form’ button to download the form and open it in your preferred editor.
2. Begin by entering the Nurse Aide Training Program name in the designated field at the top of the form.
3. Select the appropriate application type by checking either 'New', 'Renewal', or 'Change' as applicable to your program.
4. Check the program category to indicate whether your program is 'Non-facility based' or 'Facility-based' and provide the name if the program name has changed.
5. Enter your contact or mailing address, including street, city, state, ZIP code, and phone number for communication with HHSC.
6. Specify the physical address where all NATCEP records are maintained, ensuring it's a valid Texas address.
7. Provide the classroom location and, if applicable, the Facility ID. Indicate if the program offers online training and confirm identity verification, privacy protection, and documentation of completed hours.
8. Complete the sections concerning clinical training sites. List facilities for clinical training, attach current agreement letters, and confirm supervision by a NATCEP instructor.
9. Fill out the administrative authority details and include contact information for the person overseeing the program.
10. Provide information about the program director, their qualifications, and attach their resume as outlined in the instructions.
11. List the program instructors along with their qualifications and ensure all required resumes are attached.
12. Review the entire application for accuracy and completeness, then sign the affidavit in Section 12, and have it notarized.
13. Finally, email the completed form along with all required documents to Regulatory_NATCEP@hhs.texas.gov.

Complete your TX 5514-NATCEP application online today to ensure your program meets the regulatory requirements efficiently.