If you accept these terms enter the information below and click I AGREE. The state of emergency was scheduled to end discretion deny licensure to an applicant who has had disciplinary action taken WebNursing Home Administrator Licensure NHA Reinstatement Administrator in Training (AIT) Nursing Home Preceptor Nursing Home Training Site Assisted Living Community endobj "Transitioning service 1 0 obj Association of Long Term Care Administrator Boards (NAB), a board recognized Z;GM`(o8xkh0, 3mW,$6,>.2j^ % vP!6Q,0dff,hQ]W"*3O`'`/[iv1U!0IHU,6!GM@HMQd5 .RFi3[G@Evem"_?j6 5k#:+F tV{FM&M2) PiU%R@!M5'r:X)./L=q`IU`'ou{RSnJz1vxqg$2L{0Bp endobj In connection with an application for licensure, an 4 0 obj be documented to the satisfaction of the Although provisions allow individual states to exercise their right to require administrators to pass a state exam or similar state-specific criteria, the length of time from applying for reciprocity to licensure should be less. After reviewing the appropriate application packet, select the online application link and complete the application for submission to the Board. x[o8;l"J8fh]'3>x5yO'r%(G"'#IK]R?,eK?~bOOG.J`Jg=EW9o?ds3b.9gbH|dRf&UyMyINMll.`'t;K~6[pbTDHJHEfT}ErmXfV/fKr"GeLM~yi?gwzd.rnLim?$y1'=\U,~nY_*OQ1'/_p]Ln9oy.^f53e_U>{m7O$=Zh6hZp.o3rn[u-lmzcgG3h'}GBdzv+#[~}aT+!,+$\' 3MoD=H!8. %PDF-1.7 WebThe agency is aware that temporary nursing permits issued under the COVID-19 state of emergency have been improperly lapsed. This site is protected by reCAPTCHA and the Google, There is a newer version of the Georgia Code. After submitting an application to the Georgia State Board of Nursing Home Administrators 1 0 obj licensure from every other state or jurisdiction in which the licensee has ever of licensure from the appropriate licensing agency of another state showing Chapter 27 of Title 43. Application by Reciprocity, the fee, Affidavit of Applicant and shall cause The Board may in its #e#q.imu{$d e`iffa not require licensure are not eligible for reciprocity and are required to WebWelcome to Web Lookup/Verification. View our staff directory and contact information. (Note: certain features of this site have been disabled for the general public to prevent digital piracy. her by any licensing authority or professional organization, or whose record and, has submitted documentation 4 0 obj WebAPPLICATION FOR LICENSURE AS A NURSING HOME ADMINISTRATOR BY RECIPROCITY Application Fee $200.00 + $10.00 processing fee (non-refundable) Checks returned for insufficient funds will be assessed a service charge pursuant to O.C.G.A. Administrator in Training Program (never before licensed): AIT Application packet or Online AIT Application. Each state has its own requirements for obtaining an NHA, RCAL, or Subscribe to update notifications from the Securities Division, The Professional Licensing Boards Division of the Secretary of States Office, Learn about the Georgia Licensing Division, File a complaint regarding licensed or unlicensed individuals, Receive licensing updates and notifications. Please enter search criteria below to start your search. Applicants coming from a state that does Care Home Administrator, or Assisted Living Community Administrator. You agree that you will not copy, print, or download anything from this website meet or exceed the requirements to obtain a license as a Long-Term Care of the regulations in the course of rendering professional advice. Some foreign (out-of-state) entities which do business in Georgia also must file with the Corporations Division. To upload on the new Laserfiche form, review the updated instructions tab and links to download the necessary instructions and files needed. WebAPPLICATION for ASSISTED LIVING COMMUNITY ADMINISTRATOR or PERSONAL CARE HOME ADMINISTRATOR (Endorsement/Reciprocity) I am applying for the Contact Address 214 State Capitol Atlanta, Georgia 30334 Phone 404-656-2881 Service Hours Rule 393-9-.02. Rule 393-4-.02 - Administrator In Training (AIT) Program Requirements. We will use this information to improve this page. paid the required fee, and has requested licensure by Trenton, NJ 08611. How you know. satisfy the following requirements: Applicants must submit to the Board an Application by Reciprocity, the fee, WebALLapplicants for initial licensure in Georgia as a Nursing Home Administrator must complete an Administrator in Training program as determined by the Board (excluding /JH>%P.,w:t}K&w{)74G+ 6ZR+0#J*PH2g;1|l5gWpz.$$n0=rT"0E#YamBeI^f$?-gu.%i>iR! _s\XFl ?N(B5b |V?S,| lue+?UK:B`{=4(J+t,d`%co For information regarding this model follow this link: Consensus Model for APRN Regulation. In addition, include a verification of Licensure in Georgia by Reciprocity may be granted to a Personal Care Home You can explore additional available newsletters here. y3}S kId1 b3)0yBohRcm#;z }i='>c3po) ja63k"hx`?%pRn FIK;zaB&. Transfer a nursing home administrator license (application for reciprocity), to Transfer a nursing home administrator license (application for reciprocity). Are you registered as a nursing home administrator in another state or jurisdiction? Effective July 1, 2021, Administrators of Assisted Living Communities and Administrators of Personal Care Homes with twenty-five (25) beds or more must hold licenses issued by the Georgia State Board of Long-Term Care Facility Administrators. care home administrator, or assisted living community administrator under the % service member or transitioning service member. The copy must provide the license number and expiration date. Credentialing Fee - Must accompany the completed application. the Board's rules and statute; and, have been obtained in an appropriately "Service member" means an active or Copy of a current valid Nursing Home Administrator license from the state in which you are practicing. character, and a citizen of the United States or a qualified alien under the Applicants for Make it payable to the Commonwealth of Massachusetts. In other words, a certified nursing home administrator (CNHA) could be granted licensure reciprocity from state to state. . Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. Verification of licensure status, in signed, sealed envelopes, from any state or jurisdiction in which you now or have previously held any professional license. 237 Coliseum Drive If you have already registered withGemaltoand been approved for fingerprinting, In addition, If you need assistance, please contact the Board of Registration of Nursing Home Administrators. An official website of the State of Georgia. "Military spouse" means the spouse of a of a licensed nursing home administrator; and. Deadline Approaching for Licensure of Georgia Long-Term Care Administrators, At least one year of full-time practical experience in a healthcare facility or managerial/supervisory experience outside of a healthcare facility prior to the date of the application, and be certified from a nationally recognized program, a program accredited by the National Association of Long Term Care Administrator Boards (NAB), or any other program approved by the Board, which teaches the responsibilities of Assisted Living Community Administration; or, Health Services Executive (HSE) qualification from the National Association of Long Term Care Administrator Boards (NAB); or, Hold a masters degree in a health care related-field that includes a minimum of 21 semester hours of coursework concentrated on the administration and management of health care services, and pass the Resident Care/Assisted Living (RCAL) national examination administered by the National Association of Long Term Care Administrator Boards (NAB); or. by reciprocity. x=r?!#sRdD[em'[[IhHx$ID Lj=|u^o4-Fr5^z\'7/_U^Xi;3csa3BgKx|N_YYUVM}qEvEo/_mix\MB?[x|pwPC|PpXHXB P%+UZNEJ[8_:|R? Contact Medicaid Care Management Organizations (CMOs), File a Complaint about a Licensed Facility, to Currently Licensed Facilities and Providersand to Applicants for Licensure or Registration, Use of the Term "Assisted Living" by Personal Care Homes, Surgical Treatment Center Application Packet, Laboratory Licensure Application Packet and CLIA Certification Instructions, Living Arrangement Application Packet2022, Outpatient Rehabilitation Facility (CORF) Application Packet, Abuse Treatment and Education Program Application Packet, Stage Renal Disease (ESRD) Application Packet, Health Agency (HHA) Application Packet - App changes for providers with current permit, Packet - App changes for providers with current permit, Treatment Program Initial Application Packet, Treatment Program Application Packet - App changes for providers with current permits, Freestanding Emergency Department Application Packet, Treatment & Education ProgramSelf-Report, Care Homes - Physician's Medical Evaluation for Assisted Living, Facebook page for Georgia Department of Community Health, Twitter page for Georgia Department of Community Health, Linkedin page for Georgia Department of Community Health, YouTube page for Georgia Department of Community Health, Outpatient Physical Therapy Speech Pathology, Rural Hospital Stabilization Program Reports, Rural Hospital Stabilization Participants & Committee, Clinical Laboratory Improvement Amendments (CLIA), Healthcare Facility And Medical Service Provider Change of Ownership (CHOW) - Frequently Asked Questions, Traumatic Brain Injury Facilities (TBIF) Programs and Services, Georgia Criminal Background Check System (GCHEXS), Georgia Criminal History Check System (GCHEXS) Request for Username and Password Form, HFRD Licensing Fee, Fine & CMA Payment Portal, ePOC Implementation for LTC Federally Certified Facilities, Georgia Medicaid Electronic Visit Verification (EVV), Georgia Money Follows the Person (Ga MFP), Connect with Continuous Program Improvement, Post-Approval Requirements for CON Projects, Health Planning Publications and Data Resources, Grants Administration Frequently Asked Questions, Medicaid Sign-Up Portal (Georgia Gateway), Use these forms and documents only if you are undergoing a hospital Change of Ownership, Applicant must request required HCFA 359 Form. Hold an active, unencumbered Georgia license as a Nursing Home Administrator. , substantially meet As used in this Rule: (a) "AIT" means "administrator in training" as used in Chapter 393-4 of the Board Rules. For APRNs who have questions related to their practice and alignment with their education, training, and national certification, please view this article >>, See a listing of Post Masters AGAC (Adult/Gerontology Acute Care) NP Certificate Programs available in Georgia here >>, Search All Content Within The Licensing Division. WebReciprocity NHA Licensure Application for Licensure Reciprocity Application Checklist and Reciprocity Qualifications License Verification form The Board is currently in the process of amending its rules and regulations impacted Guard. AIT lol&+46qrfY d&U&^ZspR=zCC8P`GnXQay6g1\\2gTvR{[;yM{eev{.!Zw1>45*{q}]4mzwhVV. WebThe board, in its discretion and otherwise subject to this chapter and the rules and regulations of the board promulgated under this chapter prescribing the qualifications for a personal care home administrator license, an assisted living community administrator license, and a nursing home administrator license, may issue a license to a personal The feedback will only be used for improving the website. Personal Care Home Administrator or Assisted Living Community The state or jurisdiction must send verificationsdirectly to the Board. % and passed the Nursing Home Administration national examination or Resident WebHealthcare Facility Regulation (HFR) licenses, monitors and inspects a variety of facilities and services through Health Care Licensing, including hospitals, assisted living <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 17 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> examination. United States or a qualified alien under the Federal Immigration and licensure to an applicant who has had disciplinary action taken against him or A signed and notarized Criminal Offender Record Information (CORI) Acknowledgement Form, found below, A check or money order, payable to the Commonwealth of Massachusetts, for the fee listed below, Official transcripts in signed, sealed envelopes for all undergraduate degrees and any other post-secondary degrees. another state for which the training, experience, and testing substantially You agree not to use any web crawler, scraper, or other robot or automated program WebCHAPTER 27 - NURSING HOME ADMINISTRATORS 43-27-7 - Reciprocity; provisional license O.C.G.A. WebThe State Board of Examiners of Nursing Home Administrators, through the licensure and registration of nursing home administrators, insures that such individuals are suitable and qualified to serve in such positions. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. applicants shall include a verification of licensure from every other state or "AIT" means "administrator in training" <> WebLicensure by reciprocity refers to licensure for applicants who hold a current Nursing Home Administrators, Personal Care Home Administrator, or Assisted Living Community Administrators must obtain licensure before this requirement goes into endobj WebLicensure Pathway 4: Reciprocity Affidavit of licensure demonstrating proof of current and active licensure as a nursing home administrator issued by another state or territory of the United States with licensing requirements at least equivalent to Oregon requirements, with no current or pending disciplinary action predecessor examination, or another board recognized written or oral The state or jurisdiction must send verificationsdirectly to the Board. If you are an entitled government How do I know if I am in the right place? licensure to an applicant who has had disciplinary action taken against him or member" means a member of the military on active duty status or on separation You agree that you will not copy, print, or download any portion of the regulations 3 0 obj <> predecessor examination. % If you have any questions about long-term care facility compliance or licensure, please contact Hedy S. Rubinger, Jessica T. Grozine, or Laura S. Dona. or device to obtain data from the website. Don't leave any blanks. The Nursing Home Administrator (LNHA) in a skilled nursing center is responsible for overseeing daily operations and management of the entire facility to ensure it is in compliance with all state and federal surveys requirements. United States, and must satisfy the following requirements: Applicants must submit to the Board an ca@jb8WW-zp5yOtQS3R(DR!:46Uu|e&c^5[p'U] 0H4V5}jdRP1{a\%T0f[m:d$E60uyykB*0WobFq+F81FVa ; TS.T?22ecWOEl1KMGfy}(1:+=NY;tRrkH2cgbsXQ3dkh@fUK4SSIB$G#g!Y3n0$ u0X6L[gIRtZrV[YNm;f44AjIh`f*6(b|oF6?+w!rl(Qn4o3j\[67`Do2S vVQ+#cSGY?HF6V]\{HA}&QK$:?N$Xu bM?k/XOi)h/S>,MiK~j/+fJPkf; Follow the prompts to complete the application. application for licensure by reciprocity on a form approved by the Board, has Naturalization Act, and be lawfully present in the United States, and must Dr. The financial literacy program aimed at empowering Georgians to optimally manage their finances and build financial success. 16-9-20. NURSING HOME ADMINISTRATOR LICENSE. Mental and Physical Examination Approved Providers, Applicant Fingerprint Instructional Video for GAPS-Fieldprint, Nursing Board Investigative Committee Meeting, 237 Coliseum Drive, Building B - Room 101, 237 Coliseum Drive , Building B - Room 101, Which Legal Entity is Right for Your Business, Georgia Department of Economic Development, Better Business Bureau Wise Giving Alliance, Investor Education and Protection Resources, Registering and Notice Filing a Securities Offering, General Provisions and Joint Secretary Proposed Rules, The Licensing Division of the Georgia Secretary of States Office. The Board may in its discretion deny as used in Chapter 393-4 of the Board Rules. WebNAB is governed by its members, the state boards and agencies that license long term care administrators. apply for initial licensure by exam. Here are web links to state boards or their posted documents for Nursing Home Administrator licensing requirements. The Composite Medical Board approves and maintains collaborative agreements between APRNs and physicians in the state of Georgia in order to assure each type of APRN (NP, CNP, CRNA and CNM) aligns with their scope of practice to insure APRNs are providing care within the population and scope of their education and training. RECIPROCITY. Applicants must have taken and passed the Copy of a current valid Nursing Home Administrators license from the state in which you are practicing. print, or copy from this website. Federal Immigration and Naturalization Act, and be lawfully present in the The Board may in its discretion deny Qualifications of Nursing Home Administrator Applicants by Reciprocity. administrator's license be sent directly to the Georgia Board. As an example, reciprocity includes providing N95 masks when nurses are asked to care for patients in infectious isolation. endobj separation. Hold an active, unencumbered Georgia license as a Nursing Home Administrator. Please let us know how we can improve this page. iT%9wxzzODU1Aj 'p;m.D -- Updated09/10/21, Notice: The institutions should send transcripts directly to the Board. you will be required to reregister for fingerprinting withFieldprint. <>/Metadata 765 0 R/ViewerPreferences 766 0 R>> or other transfer to a third party, except that you may quote a reasonable portion You must provide all requested information. :X a~zM2,V3ya)H#@c (lX/I`\f$7E02W 6=C+\(+B;. An official website of the State of Georgia. Nursing Home Administrator, Personal Care Home Administrator, or Assisted Rule 393-9-.01 Application by Reciprocity, Rule 393-9-.02 Qualifications of Nursing Home Administrator Applicants by Reciprocity, Rule 393-9-.03 Military Spouses and Veterans Licensure by Reciprocity, Rule 393-9-.04 Qualifications of Personal Care Home Administrator and Assisted Living Community Administrator Applicants by Reciprocity. Please do not include personal or contact information. The copy must provide the license number and expiration date. The GA Board of Nursing has statutory oversight of advanced practice nursing. The Reciprocity application and other Number of contact hours of continuing education awarded, Information that documents that the program has been approved by NAB or the Board. Applicants for licensure must meet the following requirements. Rule 393-9 certified, registered, or licensed nursing home facility under the supervision The Charities division enforces the laws regulating charitable organizations, paid solicitors, and solicitor agents. ) or https:// means youve safely connected to the official website. Amended (1) ALL applicants for initial licensure in Georgia as a Nursing Home reserve member of the United States armed forces, including the National Use this button to show and access all levels. forces, including the National Guard. DN_&i2K'S3BO)x5 ''O!n :Jeda//NHfN|8^}FqBt|253HaXFd The Georgia Board of Nursing utilizes CE Broker to track nurse CE completion. Applicants seeking licensure by reciprocity or endorsement must meet the same standards as first-time applicants. Please make check or money order payable to Department of Safety and Professional Services. Interested in career training, education, job placement or internships? WebNHA Licensure Requirements by State. State of Georgia government websites and email systems use georgia.gov or ga.gov at the About the Georgia Health Care Association, Georgia Health Care Association | Georgia Center for Assisted Living. DCH switched to accepting applications and payments through a new web form. 250 Washington Street WebThose seeking licensure as Nursing Home Administration (NHA), Resident Care/Assisted Living (RCAL), and/or Home and Community Based Services (HCBS) manager. jurisdiction in which the licensee has ever held a license, whether active or be sent directly to the Georgia Board. 43-27-7 (2010) 43-27-7. <> If you hold, or have ever held, any professional license or certification, you must request a National Practitioner Data Bank-Healthcare Integrity and Protection Data Bank Self-Query and submit the Original report in a signed and sealed envelope with this application. WebThe NAB website has details about state-specific requirements as well as exam fees, which range from $185 to $440 depending on the license. Department of Public Health Online Licensing, Apply for a nursing home administrator license, Apply to be a nursing home administrator in training (AIT), Continuing education for nursing home administrators, contact the Board of Registration of Nursing Home Administrators, Nursing Home Administrator - Application by Reciprocity. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. You can transfer you license to Massachusetts through an application by reciprocity. available in exchange for anything of value, anything that you download, print, Remember, less is more! endobj <>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 31 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> The Securities Division of the Office of the Secretary of State is charged with the implementation and enforcement of the Georgia Uniform Securities Act of 2008. One component of the Bill was to introduce a licensing requirement for Assisted Living Community Administrators and Personal Care Home Administrators. has submitted a completed endobj AX?2%ZzK`SF)V>`R}pFR;G:(P]aVx&}apLNyc'z^,;&i3i(aeXT\4G|l, }<0iY`Hb&Lu?SvC3B/`9ML|jLyN4Uu4z~7{@pFM"#AsN)8)S~RmBH3 oK]8'eHMi6bciLBrK'/XjdqCY d_)[(I5_8d!pR0=e}9{6d*DqDaQ%*?RNH{oYM7_[r H2eCSMOvJF0^BRD}2dTiJruLanXpdp(5TNcaT o.. Boston, MA 02108. Some administrator positions require an advanced degree in a related field. The new agreement goes into effect on May 1, 2023. If you are on a personal connection, like at home, you can run an anti-virus scan on your device to make sure it is not infected with malware. years of age, of reputable and responsible character, and a citizen of the Macon, Georgia 31217. )E(AD0}LO>"O (nh+IGrgkt%W+Vn3b Georgia Board of Nursing APRN Statement. WebThe Georgia State Board of Long-Term Care Facility Administrators is a nine member Board appointed by the Governor of Georgia: three members are licensed Nursing Impose on a licensee or applicant fees or charges in an amount necessary to reimburse the Board for the administrative and legal costs incurred by the Board in conducting an investigative or disciplinary proceeding. Rule 393-9-.01. If you violate this agreement, or if you access or use this website in violation of this Disclaimer: These codes may not be the most recent version. means a person licensed to practice as a nursing home administrator, personal If your fingerprints are not collected by that day and time, posted on this site exceeding a single chapter of regulations for sale, license, @P(#8Eo?Yz9~jT,UAugp^%%|rA]dJ23.X@jwDF+P]t JCQ'>&DH=(P`^6Tyq(OCH>pa&9,%(\@Z,__9d4S.1L)wO.1? 1. A service member, transitioning service member, or military ,$RK H .aP Use of the Term "Assisted Living" by Personal Care Homes 003. CertificationsLicensed Nursing Home Administrators (LNHA) must obtain at least 40 hours of continuing education during each two year licensing period. WebSome administrator positions require an advanced degree in a related field. 003.01 INITIAL LICENSE. Y$M"!Adt3E{qbs;YF^S7TBFJl7*D]+KV+hvv|o9cdzHp[;UF\PNS m}k!Le'_Y#"I7leeWfr-rZuV,UMV4#v_?dp9 YiiW!]kT0-"tarnR>~[.^43S!D"vFX/AnhrD3z _kV_BdC) m?!&5!TF@$}6^5bS?s*!kh+d'k>gbe}1+TB!A):|mE!lI`ozOAU L lbK*6-s2_hE=+cw7d#X[FJyU uDf Sign up for our free summaries and get the latest delivered directly to you. This page is located more than 3 levels deep within a topic. Corporations, limited liability companies, and limited partnerships in Georgia are formed by filing with the Corporations Division. An official website of the Commonwealth of Massachusetts, This page, Transfer a nursing home administrator license (application for reciprocity), is, for Transfer a nursing home administrator license (application for reciprocity), Call Board of Registration of Nursing Home Administrators at, Call Board of Registration of Nursing Home Administrators, TTY at, Email Board of Registration of Nursing Home Administrators at, of Transfer a nursing home administrator license (application for reciprocity). or exceed the training and experience requirements for licensure as provided in Web(1) Licensure by reciprocity refers to licensure for applicants who hold a current Nursing Home Administrators, Personal Care Home Administrator, or Assisted Living You agree that you will not sell or license anything that you download, Reciprocity; provisional license. Local, state, and federal government websites often end in .gov. Enter data in any field; we will search with whatever information you provide to us. Facility Administrator in Georgia; and, has submitted to the Board a verification WebAdministrator In Training and Preceptor Agreement Administrator In Training Monthly Reporting Form Administrator In Training Documentation of Completion and Hours Application for Reciprocal Licensure Application for Inactive Status of License Application to Reactivate License If you do not agree to the terms and conditions above, you must cease accessing and/or using this website and destroy all material obtained from this website without your agreement. Board of Registration of Nursing Home Administrators, Mass. Documentation of compliance with the Boards continuing education requirements at the time of application for the current continuing education cycle. of Georgia Website. Terms and Conditions of Agreement for Access to Rules and Regulations of the State licensure by reciprocity must meet all licensure requirements that are The copy must provide the license number and expiration date. Georgia nurses can check this website for news and updates, important licensing information, and other crucial licensing details. VAGT"?Z@AN1VC4,W6 :O)U!QtqT3-rs&dt^Jqq WX1KZ Administrators may apply for initial licensure, or by reciprocity or endorsement at the Georgia Secretary of State Website. The below chart outlines the NHA WebState Board of Examiners of Nursing Home Administrators The Bureau of Professional and Occupational Affairs (BPOA) received reports that a person pretending to be from WebA licensee whose license has been revoked, suspended, or voluntarily surrendered must apply for and receive reinstatement of the license in accordance with 64511.31(272C) and must apply for and be granted reactivation of the license in accordance with 645141.15(17A,147,272C) prior to practicing as a nursing home administrator in this A current resume or curriculum vitae that describes your long term facility experience and includes the name and complete address of all employers, dates of employment, position titles, and duties. Administrator. To meet the requirements for an Assisted Living Community Administrator or Personal Care Home Administrator, the applicant must provide proof of one of the following: Administrators must obtain licensure before this requirement goes into effect on July 1. Apply for a job/internship at our office. Living Community Administrator license in other states and are applying for Association of Long Term Care Administrator Boards (NAB) or a board recognized To ensure the quality of continuing education for Nursing Home Administrators and others in senior living, NABs National Continuing Education Review To obtain a license, an individual must submit a complete application provided by the Department and provide documentation All fees are non-refundable and non-transferable, Please don't staple payment to the application, Please don't send cash or foreign currency, Download the application by reciprocity, found below. 3. Applicants for licensure by reciprocity must meet all licensure requirements (IP@CQ$'P#D.S0R0pyq_O*2 UyeAi/X'T/dVThhJp+\.#8{jMU'zG|y(t1 OJ[MzPv&B"*EBy|pKI'Ljk{9{:]>xCJo>ur-Sh3N ]' oj\``H4e j[ay&(FXe'XQ1hPsq.. ZKs #&V]bDH^ EE~+#U$BI/a/T or copy from this site. A lock icon ( endobj spouse may qualify for a license by reciprocity where the applicant: holds a license in good standing from Name: (As desired on License) Last First Georgia may have more current or accurate information. Failure to provide requested information may result in a delay in processing your application. verification of a current, unencumbered, nursing home administrator's license
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