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For those entering the healthcare field in Texas as nurse aides, understanding the Texas Nurse Aide Registry 5505-NAR form is crucial. This document plays a pivotal role in the certification process, acting as a bridge between completing necessary training and becoming a fully recognized nurse aide within the state. It’s designed to collect essential information from applicants, ensuring they meet all the requirements set forth by the Texas Department of Health and Human Services. The form covers a wide range of details, from basic personal information to more specific data regarding training, exams, and eligibility status. Moreover, it serves as a formal application for those seeking to enter the Texas Nurse Aide Registry, a critical step for anyone looking to work in this capacity. The 5505-NAR form is not just a piece of paperwork; it's the foundation upon which nurse aides begin their professional journey, ensuring that all individuals meet the high standards expected in healthcare environments.

Preview - 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.

Form Data

Fact Name Description
Purpose The 5505-NAR form is used to apply for the Texas Nurse Aide Registry, allowing individuals to work as certified nurse aides (CNAs) in the state.
Governing Law This form is regulated by the Texas Health and Human Services Commission (HHSC) under Texas Administrative Code Title 40, Part 1, Chapter 94.
Eligibility Applicants must complete a state-approved training program and pass the competency exam to be listed on the registry.
Components The form requires personal information, training details, and declarations regarding the applicant's background and eligibility.
Renewal CNAs must renew their registration every two years by submitting the appropriate documentation and proof of employment as a CNA.
Verification Process Employers must verify an individual's status on the Texas Nurse Aide Registry before hiring, to ensure they are in good standing.
Update Information Registrants are required to notify the registry of any changes in name, address, or criminal history.
Consequences of Misinformation Providing false information on the 5505-NAR form can lead to denial of registration or disciplinary action for those already registered.

Instructions on Utilizing Texas Nurse Aide Registry 5505-NAR

Completing the Texas Nurse Aide Registry 5505-NAR form is a crucial step for those aiming to be listed on the Texas Nurse Aide Registry. This registration is essential for individuals who have completed a nurse aide training and competency evaluation program and wish to work as a nurse aide in the state of Texas. The form itself is straightforward but requires attention to detail to ensure all the information is accurate and corresponds with official documents.

Follow these steps to accurately fill out the form:

  1. Start by entering your full legal name, as it appears on your government-issued identification. This will help ensure that your certification is correctly attributed to you.
  2. Next, provide your Social Security Number. This is a crucial step for identification purposes and for the administrative processing of the form.
  3. Indicate your date of birth using the MM/DD/YYYY format. This is necessary to verify your age and eligibility.
  4. Fill in your mailing address, including street, city, state, and ZIP code. Ensure this information is current, as it will be used for all correspondence related to your certification.
  5. Enter your contact details, such as your phone number and email address. These are important for quick communication regarding your application status or any additional requirements.
  6. Specify your gender by selecting the appropriate option. This information is collected for demographic purposes.
  7. If applicable, include any previous names you have used. This covers situations such as name changes due to marriage or other personal reasons and helps maintain the accuracy of your records.
  8. Provide details concerning your eligibility to work in the United States. This is a mandatory step to ensure compliance with employment laws.
  9. Lastly, review all entered information for accuracy before signing and dating the form. Your signature is essential as it certifies that all provided information is correct and complete to the best of your knowledge.

After completing these steps, you can submit your form to the Texas Nurse Aide Registry. It's a good idea to keep a copy for your records. Following submission, your form will be processed, and you will receive notification regarding the status of your application. Being thorough and accurate when filling out the form can help speed up this process.

Obtain Answers on Texas Nurse Aide Registry 5505-NAR

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

    The Texas Nurse Aide Registry 5505-NAR form is a critical document for nurse aides in Texas. It is used to record and update their status, including new certifications, renewals, or changes in personal information. This form ensures that nurse aides are listed correctly in the Texas Nurse Aide Registry, which is essential for employment in healthcare facilities.

  2. Who needs to fill out the 5505-NAR form?

    Any nurse aide who wants to practice in the state of Texas needs to fill out the form. This includes new nurse aides who are registering for the first time, current nurse aides who need to renew their certification, or those who need to update their personal information or work status on the registry.

  3. When should the 5505-NAR form be submitted?

    The form should be submitted when a nurse aide begins their first job, when renewing certification (usually every two years), or anytime there is a change in personal details or work status. It's critical to submit this form in a timely manner to ensure accurate and up-to-date listing on the Nurse Aide Registry.

  4. Where can I find the 5505-NAR form?

    The 5505-NAR form can be obtained from the Texas Department of Health and Human Services website. It is also available at most healthcare facilities that employ nurse aides, or directly from the Texas Nurse Aide Registry office.

  5. How do I submit the 5505-NAR form?

    Once completed, the form can be submitted either by mail or in person to the address provided on the form. Be sure to follow the instructions carefully and include any necessary documents or fees required for processing.

  6. What happens after I submit the form?

    After submission, your form will be processed by the Texas Nurse Aide Registry. If everything is in order, your status on the registry will be updated accordingly. It may take a few weeks for the changes to reflect, so it's a good idea to follow up if you don't see your status updated in a timely manner.

  7. Can I check my status on the Texas Nurse Aide Registry online?

    Yes, you can check your status online by visiting the Texas Department of Health and Human Services website and using their verification tool. This tool allows nurse aides to confirm their listing on the registry and ensure their information is correct and up to date.

Common mistakes

Filling out the Texas Nurse Aide Registry 5505-NAR form is a critical step for individuals pursuing certification as a Nurse Aide in Texas. However, errors in completing this form can delay the certification process or even impact one's eligibility. Here are five common mistakes to avoid:

  1. Not Using the Most Current Form: The Texas Department of Health and Human Services regularly updates forms, including the 5505-NAR. Applicants often make the mistake of using outdated versions, which may lack current requirements or sections. It's crucial to download the latest form from the official website to ensure all submissions meet current standards.

  2. Incomplete Sections: Every question on the 5505-NAR form serves a purpose, aiming to gather comprehensive information about the applicant. Skipping sections or leaving blanks can result in processing delays. In some cases, the form may be returned for completion, significantly delaying certification.

  3. Incorrect Information: Accuracy is key when filling out any official document. Misinformation, whether intentional or accidental, about personal details, qualifications, or training hours, can lead to the rejection of the application. Confirm all details, especially personal identification information and contact details, to ensure they match official documents.

  4. Illegible Handwriting: While it may seem minor, hard-to-read handwriting can cause significant issues in processing forms. With the potential for misinterpretation of critical information, it's advisable to fill out the form digitally if possible. If handwritten is the only option, strive for clear and legible penmanship.

  5. Forgetting to Sign and Date: The signature and date are crucial, acting as a personal attestation to the truthfulness and accuracy of the information provided on the form. An unsigned or undated form is considered incomplete and can be grounds for immediate rejection. Double-check that these elements have not been overlooked before submission.

By steering clear of these common pitfalls, applicants can smooth the process of their certification and avoid unnecessary setbacks. Attention to detail and careful review before submission can significantly enhance the accuracy and processing speed of the Texas Nurse Aide Registry 5505-NAR form.

Documents used along the form

Submitting a form to the Texas Nurse Aide Registry, specifically form 5505-NAR, is a crucial step for nurse aides in Texas seeking to establish or maintain their certification. This form is just one of several documents that may be required throughout the process. To ensure a smooth certification or recertification process, it's important to be familiar with other forms and documents often used in conjunction with the 5505-NAR form.

  • Form 5528-NAR: Employment Verification - This form is necessary for verifying a nurse aide's employment to ensure they meet the work eligibility requirements. It confirms that the nurse aide has provided nursing or nursing-related services in a facility to residents for compensation.
  • Form 5506-NAR: Nurse Aide Registry Renewal Form - Required for renewing a nurse aide certificate. This form helps confirm the aide's continued eligibility and includes sections for verifying employment in the field.
  • Background Check Authorization Form: Before processing the application, a comprehensive background check is conducted to ensure the applicant meets the state's standards for healthcare providers.
  • Form 5502-NAR: Request for Waiver of Nurse Aide Training and Competency Evaluation Program - Used by individuals seeking a waiver from the state-mandated training program based on equivalent training or experience.
  • Form 5560-NAR: Change of Address - Essential for keeping the registry updated with the current contact information of the nurse aide, ensuring they receive timely notifications and updates.
  • Certificate of Completion: Presented upon successful completion of the nurse aide training program. This document is often required to accompany the 5505-NAR form when initially applying for certification.
  • Form 5507-NAR: Request for Entry on the Texas Nurse Aide Registry through Reciprocity - For nurse aides certified in other states seeking certification in Texas, this form is required to verify their certification status and request entry onto the Texas registry.
  • Form 5504-NAR: Examination Application - This is for nurse aides who need to take the competency exam to become certified. It includes personal information, training verification, and details about the examination process.

Understanding and accurately completing the necessary documents are vital steps towards certification or recertification in the Texas Nurse Aide Registry. Each document serves a specific purpose in verifying qualifications, competency, and compliance with state regulations. Applicants are encouraged to review each document carefully and ensure all information is complete and accurate to avoid delays in the certification process.

Similar forms

  • Professional License Application Forms: Similar to the Texas Nurse Aide Registry 5505-NAR form, various professions require individuals to fill out application forms to obtain or renew a license. These forms collect personal information, educational background, and evidence of qualifications, ensuring that applicants meet the specific standards set by a governing body or professional organization.

  • Certification of Health Professionals Forms: This type includes documents necessary for healthcare professionals, such as doctors, nurses, and therapists, to prove their credentials and ability to practice. Like the 5505-NAR form, these certification forms might ask for detailed information on education, training, and prior work experience, along with a verification process to validate the information provided.

  • Background Check Forms: Many professions, including those outside of healthcare, require candidates to undergo background checks. These forms are similar to the 5505-NAR in that they collect personal details essential for conducting comprehensive background and criminal history checks, ensuring the safety and reliability of the workforce.

  • Employment Eligibility Verification Forms (I-9): Required by employers in the United States for all employees, the I-9 form verifies the employee's identity and eligibility to work in the U.S. Like the Texas Nurse Aide Registry form, it requires personal and identification information to be filled out by both the employee and the employer, ensuring compliance with federal laws.

  • Continuing Education Units (CEU) Tracking Forms: Health professionals often need to complete continuing education units to maintain their license active. These forms track the completion of required education, similar to the 5505-NAR, which may include reflecting on education or training attended, the hours completed, and the outcomes or certifications achieved due to these activities.

Dos and Don'ts

When filling out the Texas Nurse Aide Registry 5505-NAR form, it's important to pay close attention to the following do's and don'ts to ensure the process is completed correctly and efficiently. Following these guidelines will help you navigate the form with greater ease and confidence.

Do's:

  • Read the instructions carefully before you begin to make sure you understand the requirements.
  • Use black ink or type your responses to ensure clarity and legibility.
  • Double-check your personal information, such as your Social Security Number and contact details, to ensure accuracy.
  • Provide complete answers to all questions; if a question does not apply to you, mark it as "N/A" for "not applicable."
  • Sign and date the form where required, as your signature is essential to validate the document.
  • Keep a copy of the completed form for your records before submitting it to the relevant department.

Don'ts:

  • Don't rush through the form without reading each question thoroughly, as missing or incorrect information can delay processing.
  • Avoid using any kind of liquid paper or correction fluid; if you make a mistake, it's better to start over on a new form.
  • Don't leave any required fields blank, as incomplete forms may be rejected or returned to you.
  • Refrain from using nicknames or initials; make sure to use your full legal name as it appears on official documents.
  • Don't forget to check for any additional documents required for submission along with the form.
  • Avoid submitting the form without first making sure all information is true and correct to the best of your knowledge.

Misconceptions

There are several misconceptions regarding the Texas Nurse Aide Registry 5505-NAR form that need to be clarified. This form is integral to individuals working as nurse aides in Texas, but misunderstandings can lead to confusion about its use and requirements. Here are seven common misconceptions:

  • It's only for new applicants. Many believe the 5505-NAR form is strictly for new nurse aide applicants. However, it's also required for aides needing to renew or reactivate their registry status, not just the newcomers.
  • Completion guarantees immediate registry status. Completing and submitting the form does not guarantee immediate inclusion in the Nurse Aide Registry. The Texas Department of Health and Human Services must review and approve the application, a process that includes verifying the applicant's training and examination records.
  • It can be submitted electronically by anyone. While electronic submission is an option, it's restricted to nurse aides trained in Texas or those applying for reciprocity. Out-of-state applicants must submit their forms through mail.
  • No additional documentation is needed. Submitting the 5505-NAR form without the required additional documentation, such as proof of training and competency evaluation, will result in processing delays. All necessary documents must accompany the form.
  • Personal information is shared publicly. Some applicants worry that their personal information will be made public. The information provided on the form is used solely for registry purposes and is protected according to privacy laws.
  • The form is the only step for inclusion in the registry. Completing the form is just one step in the process. Applicants must also pass a state-approved competency exam to be listed in the Texas Nurse Aide Registry.
  • Fees are required with the form submission. Contrary to what some might think, there is no fee to submit the 5505-NAR form to the Texas Nurse Aide Registry. However, applicants may incur fees for training or testing services.

Understanding these misconceptions about the 5505-NAR form can help applicants navigate the process more effectively and ensure their application is completed correctly.

Key takeaways

When dealing with the Texas Nurse Aide Registry 5505-NAR form, it is essential to focus on key elements to ensure accurate and timely processing. This form is vital for nurse aides in Texas aiming to establish or maintain their status on the registry. Here are six key takeaways:

  • Accurate Information: Providing accurate and complete information is crucial. Every section of the 5505-NAR form must be filled out thoroughly to avoid delays or issues with the registration process.
  • Eligibility Requirements: Before filling out the form, individuals should verify they meet the eligibility requirements set forth by the Texas Nurse Aide Registry. This includes training, examination, and other criteria as specified.
  • Documentation: In some cases, additional documents may be required to support the application. Be prepared to submit proof of training, identification, and possibly other documentation as requested.
  • Signatures: The form requires signatures from the applicant and, in some cases, from training program directors or employers. Ensure all signatures are provided where necessary to validate the form.
  • Submission Guidelines: Pay close attention to instructions regarding how and where to submit the completed form. Following these guidelines is critical for the form to be processed correctly and promptly.
  • Following Up: After submission, monitor the status of your application. It may be necessary to follow up with the Texas Nurse Aide Registry to check on the progress of your registration or address any issues that may have arisen.

By paying close attention to these key takeaways, nurse aides can navigate the process of using the 5505-NAR form more effectively, ensuring a smoother path to registration or renewal in the Texas Nurse Aide Registry.

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