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AIT and NHA Forms

​​Please ​​​​​​contact the Board office via email at [email protected] to request the following forms: 

  • Administrator-In-Training Guidelines
  • Certificate of Health Form
  • Change of Address Form
  • Test Confidentiality and Attestation Form
  • Verification of Out-of- State Licensure​
Other Nursing Home Administrator Applications​

Please ​​​​​​contact the Board office via email at [email protected] to request the following applications: 

  • ​Provisional Application for Non-Licensed Interim NHA
  • LNHA Servicemember Recognition License Application​

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