Get Texas Nurse Aide Registry 5505-NAR Form

Get Texas Nurse Aide Registry 5505-NAR Form

The Texas Nurse Aide Registry 5505-NAR form is an essential document for individuals seeking to become certified nurse aides in Texas. This form plays a critical role in the registration process, ensuring that applicants meet the necessary qualifications. Ready to start your journey? Fill out the form by clicking the button below.

Structure

The Texas Nurse Aide Registry 5505-NAR form plays a crucial role in the certification and registration process for nurse aides in Texas. This form is essential for individuals seeking to become certified nurse aides, as it captures vital information required by the Texas Health and Human Services Commission. Applicants must provide personal details, including their name, address, and social security number, along with information about their training and any previous certifications. Additionally, the form requires the submission of background checks to ensure the safety and well-being of patients. Completing the 5505-NAR form accurately is a key step in demonstrating compliance with state regulations and maintaining high standards in healthcare. Overall, this form serves as a foundational document for those entering the nursing aide profession in Texas, paving the way for a successful career in patient care.

Texas Nurse Aide Registry 5505-NAR Preview

Texas Nurse Aide Registry

Form 5505-NAR

December 2022-E

Request for Entry on the Texas Nurse Aide Registry Through Reciprocity

 

Applicant Information (To be completed by applicant.)

Note: You are not eligible to be employed as a nurse aide in the state of Texas until your request has been approved and you have been entered into the registry.

Read the following instructions before completing this form.

Complete all information in Section 1. Your signature is required at the bottom of Section 1 to verify that information you provided is correct.

Once Section 1 is complete, email this form, a legible copy of a government issued identification that shows your birth date and the correct spelling of your name, copy of your Social Security card, and your Texas criminal history results for all legal last names you ever had from the Texas Department of Public Safety at publicsite.dps.texas.gov/ConvictionNameSearch to: nurseaideregistry@hhs.texas.gov (See back of form for more instructions.)

If you do not have an expiration date in the state you are active in, you must also complete and submit Form 5506-NAR, Employment Verification. The form must be completed by your most recent employer (within the last two years).

Name (Last, First, Middle):

 

 

Maiden Name (if applicable):

 

 

 

 

Social Security No.:

Sex:

Date of Birth:

Email Address:

 

Male

Female

 

Mailing Address (Street or P.O. Box):

City:

State:

ZIP Code:

Phone No.:

State(s) Where Issued:

Nurse Aide Certificate No.(s)

Issue Date(s):

Signature – Applicant

Date

You must submit the following items:

Completed Form 5505-NAR – Signed and dated

Copy of your government issued current photo ID

Copy of your Social Security card

Texas Department of Public Safety criminal history check for all legal last names ever had (either Fingerprint Cards with results or Name Based completed online for all last names ever used)

Email the completed form and required documents to the Texas Nurse Aide Registry at nurseaideregistry@hhs.texas.gov.

Form 5505-NAR

Page 2 / 12-2022-E

Address:

Instructions

Nurse Aides who are listed active on a registry in another state and are requesting to be placed on the Texas Nurse Aide Registry by reciprocity must meet eligibility requirements listed, per Texas Standards for Nurse Aides, Section twenty six26 TAC 556.11(b)(1-5). No person listed as unemployable on the Employee Misconduct Registry (EMR) or who has been found to have a conviction of a criminal offense listed in Texas Health and Safety Code, Section250.006, will be eligible for reciprocity. Find Chapter 250 and for list of convictions at statutes.legis.state.tx.us\Docs\HS\htm\HS.250.htm#00.

Nurse Aide Registry staff will complete the EMR check.

The person requesting reciprocity must obtain a criminal history check from the Texas Department of Public Safety (DPS). For instructions on how a person can obtain a named-based criminal history check for all names ever used, visit publicsite.dps.texas.gov/ConvictionNameSearch.

You must submit your criminal history results along with the reciprocity Form 5505-NAR to be placed on the Texas Nurse Aide Registry by reciprocity.

Applicant, did you:

Sign the form?

Include your criminal history results for all last names you ever had, a legible photocopy of your state issued picture identification showing your birth date and correct spelling of your name, and a copy of your Social Security card?

Did you know?

You can verify certificate status by using the following link: emr.dads.state.tx.us/DadsEMRWeb/

You can download forms from our website: hhs.texas.gov/doing-business-hhs/licensing-credentialing-regulation/credentialing/nurse-aide- registry/nar-forms

With a few exceptions, you have the right to request and be informed about the information that the Texas Health and Human Services Commission (HHSC) obtains about you. You are entitled to receive and review the information upon request. You also have the right to ask HHSC to correct information that is determined to be incorrect (Government Code, Sections 552.021, 552.023, 559.004). To find out about your information and your right to request correction, please call the Nurse Aide Registry at 512-438-2050.

Document Data

Fact Name Description
Purpose of the Form The Texas Nurse Aide Registry 5505-NAR form is used to register nurse aides in the state of Texas.
Governing Laws This form is governed by the Texas Health and Safety Code, Chapter 250, and the Texas Administrative Code, Title 40, Chapter 95.
Eligibility Requirements Applicants must complete a state-approved nurse aide training program and pass the competency evaluation.
Submission Process The completed form must be submitted to the Texas Department of Aging and Disability Services (DADS).
Processing Time Typically, processing of the application takes several weeks, depending on the volume of submissions.
Renewal Information Nurse aides must renew their registration every two years to maintain active status.
Contact Information For questions, individuals can contact the Texas Nurse Aide Registry directly through their official website or phone number.

How to Use Texas Nurse Aide Registry 5505-NAR

Completing the Texas Nurse Aide Registry 5505-NAR form is a critical step for individuals seeking to become certified nurse aides in Texas. This process involves providing essential information about your training and qualifications. Once the form is filled out correctly, it will be submitted for processing, which will lead you toward your certification.

  1. Begin by downloading the Texas Nurse Aide Registry 5505-NAR form from the official website or obtaining a physical copy.
  2. Read the instructions carefully to understand the requirements and the information needed.
  3. Fill in your personal information, including your full name, address, phone number, and email address.
  4. Provide your Social Security number, ensuring that it is accurate to avoid processing delays.
  5. Indicate your date of birth and any other required demographic information.
  6. Detail your training history, including the name of the training program, the dates attended, and the name of the institution.
  7. List any relevant certifications or licenses you hold, along with their expiration dates.
  8. Complete any additional sections that pertain to your background or qualifications as requested on the form.
  9. Review the entire form for accuracy and completeness before signing it.
  10. Submit the form according to the provided instructions, whether by mail or online, and keep a copy for your records.

Key Facts about Texas Nurse Aide Registry 5505-NAR

What is the Texas Nurse Aide Registry 5505-NAR form?

The Texas Nurse Aide Registry 5505-NAR form is a document used to apply for certification as a nurse aide in Texas. It collects essential information about the applicant, including personal details, education, and training history. Completing this form is a crucial step in becoming a certified nurse aide in the state.

Who needs to fill out the 5505-NAR form?

Individuals who wish to become certified nurse aides in Texas must complete the 5505-NAR form. This includes those who have completed a nurse aide training program and are seeking to take the certification exam. If you are already certified and need to update your information, you might also need to use this form.

Where can I obtain the 5505-NAR form?

The 5505-NAR form is available on the Texas Health and Human Services website. You can download it directly from their site or request a physical copy from the Texas Nurse Aide Registry. Ensure you have the latest version of the form to avoid any issues with your application.

What information do I need to provide on the form?

When filling out the 5505-NAR form, you will need to provide personal information such as your name, address, date of birth, and Social Security number. Additionally, you’ll need to include details about your training program, any previous certifications, and any criminal history if applicable.

How do I submit the 5505-NAR form?

You can submit the completed 5505-NAR form by mailing it to the Texas Nurse Aide Registry. Make sure to check the mailing address on the form and include any required fees. If you are submitting it electronically, follow the instructions provided on the Texas Health and Human Services website.

Is there a fee associated with submitting the 5505-NAR form?

Yes, there is typically a fee associated with submitting the 5505-NAR form. The amount may vary, so it’s important to check the current fee schedule on the Texas Health and Human Services website. Ensure that you include payment with your application to avoid delays.

How long does it take to process the 5505-NAR form?

Processing times can vary, but generally, it takes several weeks to process the 5505-NAR form. You can check the status of your application by contacting the Texas Nurse Aide Registry directly. It’s advisable to apply well in advance of any planned certification exams.

What should I do if I make a mistake on the 5505-NAR form?

If you realize you made a mistake after submitting the form, contact the Texas Nurse Aide Registry as soon as possible. They can guide you on how to correct the error. It’s important to address any mistakes promptly to avoid complications with your application.

Common mistakes

Filling out the Texas Nurse Aide Registry 5505-NAR form can be a straightforward process, but many people make common mistakes that can lead to delays or even rejection of their application. One frequent error is providing incomplete personal information. Applicants sometimes forget to include their full name, address, or contact details. This information is crucial for processing the application and for future communications.

Another mistake involves inaccuracies in the Social Security number. Some individuals may accidentally transpose numbers or enter incorrect digits. This can cause significant issues, as the Social Security number is used to verify identity and eligibility. Double-checking this information is essential before submitting the form.

Additionally, many applicants overlook the importance of signing and dating the form. An unsigned application is considered incomplete. It’s a simple step that can easily be forgotten, but it is vital for the application to be processed. Remember, your signature confirms that all information provided is true and accurate.

Not following the specific instructions on the form can also lead to mistakes. Each section has guidelines that must be adhered to. For instance, some applicants might miss specific formatting requirements or fail to provide necessary documentation. Reviewing the instructions carefully can help avoid these pitfalls.

People often underestimate the significance of providing accurate employment history. Inaccurate dates or job titles can raise red flags during the review process. It’s important to list previous positions clearly and ensure that the information aligns with any supporting documents.

Lastly, failing to keep a copy of the completed form can be a major oversight. Having a copy allows applicants to reference what they submitted if any issues arise. It also provides a record of their application, which can be helpful for tracking its status. Taking these steps can make a significant difference in the application process.

Documents used along the form

The Texas Nurse Aide Registry 5505-NAR form is essential for those seeking to become certified nurse aides in Texas. Along with this form, several other documents and forms are commonly utilized in the certification process. Below is a list of these important documents, each playing a crucial role in ensuring compliance and facilitating the certification journey.

  • Application for Nurse Aide Certification: This form is the initial application that individuals must complete to begin the certification process. It gathers personal information and educational background.
  • Background Check Authorization Form: This document authorizes the Texas Department of Health to conduct a criminal background check on the applicant. It is a vital step in ensuring the safety of patients.
  • Verification of Training Program Completion: This form confirms that the applicant has completed an approved nurse aide training program. It typically includes details about the program and its duration.
  • Competency Evaluation Program (CEP) Application: Applicants must submit this form to schedule their competency evaluation, which assesses their skills and knowledge in a practical setting.
  • Proof of Identity: A government-issued identification, such as a driver's license or passport, must be submitted to verify the applicant's identity.
  • Social Security Number Verification: This document is necessary to confirm the applicant's Social Security number, which is required for certification and employment purposes.
  • Health Screening Records: Applicants may need to provide documentation of health screenings, including immunizations and tuberculosis testing, to ensure they are fit for the role.
  • Employment Verification Form: This form may be required to verify any prior work experience in healthcare settings, which can enhance the applicant's qualifications.
  • Continuing Education Certificates: For those renewing their certification, proof of completed continuing education courses may be necessary to demonstrate ongoing professional development.
  • Renewal Application for Nurse Aide Certification: This form is used by certified nurse aides to renew their certification, ensuring they meet the required criteria for continued practice.

Each of these documents supports the certification process for nurse aides in Texas. By understanding their purpose and requirements, applicants can navigate the process more effectively and ensure compliance with state regulations.

Similar forms

The Texas Nurse Aide Registry 5505-NAR form is an important document for individuals seeking to become certified nurse aides in Texas. There are several other documents that share similarities with this form, often serving similar purposes in the healthcare field or regulatory processes. Below is a list of nine documents that are comparable to the 5505-NAR form, along with a brief explanation of how they are alike.

  • Certified Nursing Assistant (CNA) Application Form - This form is used by individuals applying for CNA certification. Like the 5505-NAR, it requires personal information and verification of training.
  • State Nurse Aide Registry Application - Similar to the 5505-NAR, this application is for registering with a state’s nurse aide registry, ensuring compliance with state regulations.
  • Background Check Authorization Form - This document is often required to verify the criminal history of an applicant, much like the background checks associated with the 5505-NAR.
  • Healthcare Provider Credentialing Application - This application is used by healthcare facilities to verify the credentials of staff, paralleling the verification process of the 5505-NAR.
  • Continuing Education Verification Form - Similar to the 5505-NAR, this form is used to confirm that healthcare professionals have completed required training to maintain their certification.
  • Employment Verification Form - This document is often requested by regulatory bodies to confirm an individual’s employment history, akin to the verification aspects of the 5505-NAR.
  • Patient Care Technician (PCT) Certification Application - Like the 5505-NAR, this application is for those seeking certification in a specific healthcare role, requiring proof of training and skills.
  • Medication Aide Certification Application - This form is similar in that it requires applicants to demonstrate their qualifications and training for administering medications, just as the 5505-NAR does for nurse aides.
  • Healthcare License Renewal Application - This application is used by licensed healthcare professionals to renew their credentials, sharing the need for ongoing verification and compliance found in the 5505-NAR.

Dos and Don'ts

When filling out the Texas Nurse Aide Registry 5505-NAR form, it is important to follow certain guidelines to ensure your application is processed smoothly. Below is a list of dos and don'ts to consider.

  • Do double-check all personal information for accuracy.
  • Do provide all required documentation as specified in the form.
  • Do complete the form in black or blue ink for clarity.
  • Do sign and date the application before submission.
  • Don't leave any sections blank; fill in all required fields.
  • Don't submit the form without reviewing it for errors.

Following these guidelines will help ensure a successful application process.

Misconceptions

Misconceptions about the Texas Nurse Aide Registry 5505-NAR form can lead to confusion among aspiring nurse aides and their employers. Here are ten common misconceptions, along with clarifications to help set the record straight.

  1. Misconception 1: The 5505-NAR form is only for new applicants.

    This form is used for both new applicants and those renewing their certification.

  2. Misconception 2: Only Texas residents need to fill out the 5505-NAR form.

    Individuals from other states who wish to work in Texas as nurse aides must also complete this form.

  3. Misconception 3: The form can be submitted online.

    Currently, the 5505-NAR form must be submitted via mail or in person.

  4. Misconception 4: Completing the form guarantees certification.

    Submission of the form is just one step in the certification process; passing the required exams is also necessary.

  5. Misconception 5: The 5505-NAR form does not require any supporting documents.

    Applicants must include various documents, such as proof of training and identification.

  6. Misconception 6: There is no fee associated with the 5505-NAR form.

    A processing fee is typically required when submitting the form.

  7. Misconception 7: Once certified, a nurse aide never has to renew their certification.

    Certification must be renewed periodically, and the 5505-NAR form is involved in that process.

  8. Misconception 8: The 5505-NAR form is the same as the application for a nursing license.

    This form is specifically for nurse aides and is separate from nursing license applications.

  9. Misconception 9: The form can be completed in any language.

    The 5505-NAR form must be filled out in English, as it is the official language used by the Texas Nurse Aide Registry.

  10. Misconception 10: All nurse aides must take the same training program.

    While training programs must meet state standards, there are various approved programs available to choose from.

Understanding these misconceptions can help ensure a smoother application process for those seeking to become certified nurse aides in Texas.

Key takeaways

Filling out the Texas Nurse Aide Registry 5505-NAR form is an important step for individuals seeking to become certified nurse aides in Texas. Understanding the process can help ensure a smooth application experience. Here are some key takeaways to consider:

  • The 5505-NAR form is essential for registering as a nurse aide in Texas.
  • Accurate completion of the form is crucial; any errors may delay processing.
  • Personal information, including your full name and contact details, must be clearly stated.
  • Be prepared to provide information about your training program and any relevant work experience.
  • Submitting the form requires a fee, which must be included with your application.
  • Keep a copy of the completed form for your records before submission.
  • After submission, you can check the status of your application online or by contacting the registry.

By following these guidelines, you can navigate the registration process more effectively and take an important step toward your career in healthcare.