Review:
Health Services Executive (HSE) Active Licensees
Continuing Education
Applicant Forms
Education and Experience Review (PDF Fillable
NHA Application for Initial Licensure (PDF Fillable)
Temporary Acting Administrator Permit for Skilled Nursing Facility (PDF Fillable)
HSE and Combined ALD/NHA State exam application
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
Licensees Forms
HSE Shared Executive Application (PDF Fillable)
Minnesota HSE Non-Renewal Form
Mentor Evaluation of ALDIR/ALD Mentee
NHA Licensee Shared Administrator Application
HSE & NHA CE Attestation and Record Sheet (PDF fillable)
LNHA Employment Interest Registry
Continuing Education Approval Application
Continuing Education Provider Mailing Label Request Form
Request for Continuing Education Provider Mailing List
Lost License and Replacement License
Online Portal Technical Support Request
Minnesota Board of Executives for Long Term Services and Supports (BELTSS)