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Get the free NHA Application for Relicensure - Michigan.gov Home

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Michigan Department of Licensing and Regulatory Affairs Bureau of Health Care Services Board of Nursing Home Administrators PO Box 30670 Lansing, MI 48909 (517) 3350918 www.michigan.gov/healthlicense
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How to fill out nha application for relicensure

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How to fill out NHA application for relicensure:

01
Download the NHA application form from the official website.
02
Carefully read all the instructions provided on the application form.
03
Fill in your personal information accurately, including your name, address, and contact details.
04
Provide your previous NHA certification details, such as the certification number and expiration date.
05
Indicate the type of relicensure you are applying for and any additional certifications you have obtained.
06
Complete the required sections related to your education and work experience in the healthcare field.
07
Attach any supporting documents, such as copies of your previous certifications or educational transcripts.
08
Double-check all the information you have entered to ensure accuracy.
09
Sign and date the application form.
10
Submit the completed application form and any required supporting documents to the NHA via mail or online submission.

Who needs NHA application for relicensure:

01
Healthcare professionals who hold previous NHA certifications and wish to renew their certification.
02
Individuals whose NHA certifications have expired and need to regain their certification status.
03
Healthcare professionals who have obtained additional certifications and want to update their relicensure records with the NHA.
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The NHA application for relicensure is a form that must be completed by individuals seeking to renew their license or certification.
Individuals who hold a license or certification that is set to expire and need to renew it are required to file the NHA application for relicensure.
The NHA application for relicensure can typically be filled out online or submitted by mail. It requires providing personal information, proof of continuing education, and any additional documentation as required.
The purpose of the NHA application for relicensure is to ensure that individuals holding a license or certification meet the necessary requirements to continue practicing in their field.
The NHA application for relicensure may require reporting personal information, proof of continuing education, employment history, and any relevant certifications or licenses.
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