NHA Request for Academic Course and/or Experience Review (PDF Fillable)
NHA Full Application from NHA Education Review (PDF Fillable)
NHA Application for Initial Licensure (PDF Fillable)
Temporary Acting Administrator Permit for Skilled Nursing Facility (PDF Fillable)
ALD/NHA Hybrid Exam/HSE exam
State Exam Feedback Questionnaire
Name Change/Correction Form
Lost License and Replacement License
Online Portal Technical Support Request
Request to Add or Update a Facility
