Certified Registered Nurse Practitioner and Prescriptive Authority Applications/Forms
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
CRNP Application for Prescriptive Authority (PDF)
CRNP Prescriptive Authority Change Forms
CRNP Verification of Education Forms
Verification of Opioid Education
Verification of Nurse Practitioner Program
Verification of Advanced Pharmacology