Advanced Practice Licensure Packets
Application Packet for Advanced Practice Licensure
Advanced Practice Licensure Individual Forms
Application for Advanced Practice Registered Nurse Licensure
Confirmation of Program Completion for Advanced Practice Registered Nurse
Post-Graduate Practice Verification Form
Confirmation of Advanced Practice Registered Nurse Employment
Application for Continued Authority to Practice after Certification on File Expires Forms
Application for Continued Authority to Practice Instruction Page
Application for Continued Authority to Practice
Confirmation of Advanced Practice Registered Nurse Employment
Reorientation Forms
Reorientation Plan Information
Statement of Intent to Practice in a Reorientation Plan
Affidavit of Successful Completion of Reorientation Plan
Reregistration Forms
Application for Reregistration
Confirmation of Advanced Practice Registered Nurse Employment
Other Forms
APRN Dispensing for Profit Form
This statement must be filed with the Board if an APRN is dispensing drugs for profit. This law refers only to drugs that are 1) to be administered orally; 2) ordinarily dispensed by pharmacists; and 3) not vaccines.