Launch Texas Nurse Aide Registry 5505-NAR Editor Now

Fill Your Texas Nurse Aide Registry 5505-NAR Form

The Texas Nurse Aide Registry 5505-NAR form is a crucial document for individuals seeking certification as nurse aides in Texas. This form serves to verify the qualifications and background of aspiring nurse aides, ensuring they meet the state's standards for care. To begin your journey towards certification, click the button below to fill out the form.

Launch Texas Nurse Aide Registry 5505-NAR Editor Now

Article Guide

Dos and Don'ts

When filling out the Texas Nurse Aide Registry 5505-NAR form, there are some important things to keep in mind. Here’s a list of dos and don’ts to help you through the process:

Do read the instructions carefully before starting.
Do provide accurate and complete information.
Do double-check your entries for any mistakes.
Do sign and date the form where required.
Don't leave any required fields blank.
Don't use white-out or any correction fluid on the form.
Don't submit the form without reviewing it one last time.

Following these guidelines will help ensure your application is processed smoothly. Good luck!

Sample - Texas Nurse Aide Registry 5505-NAR Form

	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.

More PDF Templates

60 Day Move Out Notice Texas - This is a critical step in ending your tenancy according to your lease agreement.

Medicaid Forms Online - This document emphasizes accountability for both parties involved.

Documents used along the form

The Texas Nurse Aide Registry 5505-NAR form is essential for individuals seeking certification as nurse aides in Texas. Alongside this form, several other documents are often required to ensure compliance with state regulations and to facilitate the certification process. Below is a list of related forms and documents that may be needed.

Background Check Authorization Form: This document allows the state to conduct a criminal background check on the applicant, ensuring the safety and well-being of patients.
Proof of Training Completion: Applicants must provide evidence that they have completed an approved nurse aide training program, which includes both classroom instruction and clinical practice.
Application for Certification: This form is typically required to formally apply for certification after completing the nurse aide training program.
Verification of Employment: Some applicants may need to submit a verification form from their employer, confirming their experience as a nurse aide.
CPR Certification Card: Many programs require nurse aides to be certified in cardiopulmonary resuscitation (CPR) as part of their training.
Health Statement: A health statement or medical clearance may be necessary to ensure that the applicant is physically capable of performing the duties of a nurse aide.
Continuing Education Certificates: For those renewing their certification, proof of completed continuing education courses may be required.

These documents collectively support the application process for nurse aide certification in Texas. Ensuring that all required forms are completed accurately will facilitate a smoother certification experience.

Common mistakes

Filling out the Texas Nurse Aide Registry 5505-NAR form is a crucial step for those seeking to become certified nurse aides. However, many individuals make common mistakes that can delay their application process. One frequent error is providing incomplete personal information. This includes failing to include a current address, phone number, or email. Omitting these details can lead to communication issues with the registry.

Another mistake often seen is the incorrect entry of social security numbers. Accuracy is paramount here, as a simple typographical error can result in significant delays in processing the application. Applicants should double-check their social security numbers to ensure they match official documents.

Many applicants overlook the importance of signing and dating the form. A signature is not just a formality; it signifies that the applicant attests to the truthfulness of the information provided. Without a signature, the application may be considered invalid and returned for correction.

Additionally, some individuals fail to review the eligibility requirements thoroughly before applying. Each applicant must meet specific criteria, such as completing a state-approved training program. Ignoring these prerequisites can lead to unnecessary rejections.

Providing outdated or incorrect information about training programs is another common pitfall. The form requires details about the training program attended, including the program's name and completion date. Inaccurate information can lead to complications in verifying credentials.

Applicants sometimes neglect to include required documentation. This may include proof of training completion or identification. Without these documents, the application cannot be processed, causing delays that could have been avoided.

Failure to disclose any criminal history is a serious oversight. The form requires applicants to answer questions about past convictions honestly. Misrepresentation can result in disqualification from the registry and potential legal consequences.

Lastly, not following the submission guidelines can lead to complications. Each application must be submitted in accordance with the instructions provided, including payment methods for any applicable fees. Ignoring these guidelines can result in the application being returned or delayed.

Misconceptions

Understanding the Texas Nurse Aide Registry and the associated 5505-NAR form is crucial for aspiring nurse aides and employers alike. However, several misconceptions can lead to confusion. Here’s a list of common misunderstandings:

The 5505-NAR form is only for new applicants. Many believe this form is exclusively for those applying for the first time. In reality, it is also used for renewals and updates to existing registrations.
Submitting the form guarantees immediate certification. Some may think that filling out the 5505-NAR form automatically results in certification. However, it is just one step in a process that includes background checks and other requirements.
All nurse aides must fill out the 5505-NAR form. While most nurse aides do need to complete this form, certain exemptions exist. For example, individuals working in specific healthcare settings may have different requirements.
The form can be submitted online only. There is a common belief that the 5505-NAR form must be submitted online. In fact, it can also be mailed in, providing flexibility for those who prefer traditional methods.
Once submitted, the application cannot be changed. Some people think that once they submit the form, they cannot make any changes. However, applicants can often amend their information if necessary, though it may require additional steps.
Only Texas residents can apply using the 5505-NAR form. While this form is specific to Texas, individuals from other states may apply if they meet certain criteria, such as moving to Texas and wanting to continue their career as a nurse aide.
There is no fee associated with the 5505-NAR form. Many assume that the application is free. However, there may be fees for background checks or other processing costs that applicants need to consider.
Certification lasts indefinitely once obtained. It is a common misconception that once certified, a nurse aide remains certified forever. In fact, nurse aides must renew their certification periodically to stay active in the registry.

By clarifying these misconceptions, individuals can better navigate the process of becoming a certified nurse aide in Texas and ensure they meet all necessary requirements.

Free Texas Nurse Aide Registry 5505-NAR File

Key takeaways

Filling out the Texas Nurse Aide Registry 5505-NAR form is an important step for individuals seeking certification as nurse aides in Texas. Below are key takeaways to consider when completing and using this form.

The form is essential for registering as a nurse aide in Texas.
Ensure all personal information is accurate and up-to-date.
Provide your Social Security number as it is required for identification.
Include your date of birth to verify eligibility.
Be prepared to submit proof of completed training or education.
Double-check for any required signatures before submitting the form.
Keep a copy of the completed form for your records.
Submit the form to the appropriate state agency as instructed.
Monitor the status of your application after submission.
Be aware of any fees associated with the registration process.

Understanding these points can help streamline the registration process and ensure compliance with Texas regulations.

File Characteristics

Fact Name	Description
Purpose	The Texas Nurse Aide Registry 5505-NAR form is used for registering nurse aides in Texas.
Governing Law	The form is governed by the Texas Health and Safety Code, Chapter 250.
Eligibility	Individuals must meet specific training and competency requirements to register.
Submission Process	The completed form must be submitted to the Texas Department of Aging and Disability Services.
Fees	A fee may be required for processing the registration form.
Renewal	Nurse aides must renew their registration periodically to maintain their status.
Background Checks	Applicants are subject to background checks as part of the registration process.
Access to Registry	The registry is publicly accessible, allowing employers to verify a nurse aide's status.

How to Use Texas Nurse Aide Registry 5505-NAR

Completing the Texas Nurse Aide Registry 5505-NAR form is an important step in your journey to becoming a certified nurse aide. Ensure that you have all necessary information ready before you begin. The following steps will guide you through the process of filling out the form accurately.

Obtain the Texas Nurse Aide Registry 5505-NAR form from the official website or designated location.
Read the instructions on the form carefully to understand what information is required.
Fill in your personal information, including your full name, address, and contact details.
Provide your Social Security number as requested. Ensure this is accurate to avoid delays.
Indicate your date of birth in the specified format.
Complete the section on education and training. Include the name of the program and the completion date.
Answer any questions regarding your employment history. Be thorough and precise.
Review the section on background checks. Provide any required information related to criminal history.
Sign and date the form at the designated area to confirm the accuracy of the information provided.
Make a copy of the completed form for your records before submission.
Submit the form according to the instructions provided, ensuring it is sent to the correct address.

After submitting the form, you will await confirmation from the Texas Nurse Aide Registry. This process may take some time, so be patient. Keep an eye on your email or mail for any updates regarding your application status.