Discipline/Compliance

• An Overview of the Rehab C​ommittee
• Frequently Asked ​​Questions

• ​CNA-I (formerly GNA ) Abuse Registry - Posting Required by DHMH Office of Health Care Quality.
  
• Applicants denied licensure and certification

• Board Order Fine​ Form
• Rehab Treatment Verification Form​​
  
• Self Report for Probation Orders 
• Self Report Form for Monitorin​g
• Treatment Verification F​orm
  
• Worksite Verification Monitoring Program Form​​ ​
• Worksite Report 2015 Pro​​​bation Form 
  
• Complaint Form​​​

Contact the Discipline & Compliance Division

For general inquiries (Discipline):
[email protected]

For general inquiries (probation/reinstatement after discipline):
[email protected]

For general inquiries (Safe Practice Program):
[email protected]

^{updated 4/10/2026 (508)}