Nursing Assistant Registry Forms - Minnesota Dept. of Health

Nursing Assistant Registry Forms

From this page you may download form(s) to update your information on the Minnesota Nursing Assistant Registry, or to have your records transferred to the Minnesota Registry from another state. There is NO PROCESSING FEE for the Minnesota Registry.

To view and print the PDF files listed in these documents you will need to download Adobe Acrobat Reader or Adobe Acrobat Reader for Visually Impaired Readers. Adobe provides a free download for these applications at their website.

Nursing Assistant Registry Update Forms

Complete the Nursing Assistant Registry Update Form (PDF) if you are currently on the Registry and need to change or add information to your file.

Interstate Endorsement Forms

Complete the Interstate Endorsement Forms if you wish to transfer your certificate to the Minnesota Nursing Assistant Registry from another state. Please read and follow the directions on the form(s) carefully. Incomplete forms will delay your transfer to the Minnesota Registry and will be returned to you.

Interstate Endorsement Forms (PDF)

Interstate Endorsement Forms can be submitted electronically via email at: health.FPC-NAR@state.mn.us.

There is NO PROCESSING FEE for the Minnesota Registry.

If you need additional help completing these forms, please contact the Nursing Assistant Registry by telephone or in writing:

Between the hours of 9 a.m. and 3 p.m., Monday through Friday, contact the Nursing Assistant Registry by calling 651-215-8705 or long distance within Minnesota 1-800-397-6124 or by emailing health.FPC-NAR@state.mn.us.

Nursing Assistant Registry
P.O. Box 64501
St. Paul, MN 55164-0501

Updated Thursday, October 20, 2016 at 03:18PM