Nurse Aide Registry Applications and Forms
The Oklahoma Department of Health will suspend lobby services for the Nurse Aide Registry and Home Care Administrator (Protective Health Services) desk until further notice. During this time, all Nurse Aide Registry and Home Care Administrator staff will remain on site to fill e-mail, phone and mail requests. Contacts are shown at the bottom of the page.
Change in agency practice regarding distribution of nurse aide certification renewal cards
November 7, 2017
The Oklahoma State Department of Health (OSDH), Nurse Aide Registry (NAR), will no longer print and mail certification cards for initial or the renewal of nurse aide certification(s) in Long Term Care (LTC), Home Health Aide (HHA), Developmentally Disabled Direct Care Aide (DDCA), Residential Care Aide (RCA), Adult Day Care Aide (ADCA), and Certified Medication Aide (CMA) (including advanced CMA classifications).
Links to Applications and Forms
NOTE: Applications on this page have been converted to PDF files. You will need the Adobe™ Acrobat ™ Reader to view the files. A short-cut is provided on the left in the blue column.
IMPORTANT REQUIREMENTS FOR RENEWAL! The Oklahoma Taxpayer and Citizen Protection Act of 2007 requires anyone seeking a license, permit, or certificate to complete an affidavit of legal residence. One of the legal resident affidavit forms, linked below, must be completed and submitted to the Nurse Aide Registry with each nurse aide certification and/or recertification application. The relevant portion of the law may be found at Title 21 O.S. Section 1550.42.
Legal Resident Affidavit Forms
Notification of Nurse Aide Abuse, Neglect, Mistreatment or Misappropriation of Property
ODH Form 718 (9K)
Contact Information
Mailing Address (for applications):
Oklahoma State Department of Health
Nurse Aide Registry
PO Box 268816
Oklahoma City, OK 73126-8816
Physical Address:
Oklahoma State Department of Health
123 Robert S. Kerr Ave.
Oklahoma City, OK
Phone: 405.426.8150
Fax*: 405.900.7572
Email*: NAR@health.ok.gov
*Applications without fees can also be emailed or faxed to the Nurse Aide and Nontechnical Service Workers Registry team.
