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  Application Forms and Information

Certified Registered Nurse Practitioner and Prescriptive Authority

Certified Registered Nurse Practitioner - The Bureau of Professional and Occupational Affairs offers prospective licensees the opportunity to apply for initial licensure online via our secure PALS website.   Apply Online

User Guide for Certified Registered Nurse Practitioner (CRNP) Prescriptive Authority Collaborative Agreement Application

User Guide for Certified Registered Nurse Practitioner (CRNP) Prescriptive Authority Collaborative Agreement Change Application


CRNP Verification of Education Forms:

New Graduates

The Bureau of Professional and Occupational Affairs offers prospective licensees the opportunity to apply for initial licensure online via our secure PALS website.   Apply Online

Endorsement 

(Individuals holding a nursing license in another state, jurisdiction or country) 

The Bureau of Professional and Occupational Affairs offers prospective licensees the opportunity to apply for initial licensure online via our secure PALS website.   Apply Online

Clinical Nurse Specialist

The Bureau of Professional and Occupational Affairs offers prospective licensees the opportunity to apply for initial licensure online via our secure PALS website.   Apply Online

Licensed Dietitian-Nutritionist 

The Bureau of Professional and Occupational Affairs offers prospective licensees the opportunity to apply for initial licensure online via our secure PALS website.   Apply Online

Volunteer Licenses