Request for Nurse Assistant Training Program or Home Health Aide program clinical site approval Preview on Page 1

Request for Nurse Assistant Training Program or Home Health Aide program clinical site approval 2026

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How to use or fill out Request for Nurse Assistant Training Program or Home Health Aide program clinical site approval

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the name and address of the nursing facility at the designated section. Ensure accuracy as this information is crucial for approval.
  3. Next, provide the name and address of the NATP/HHP. This identifies who is requesting the clinical site approval.
  4. Fill in the Nursing Facility Administrator's name and signature. This confirms that they agree with the terms outlined in the form.
  5. Complete the section for NATP/HHP Owner/Administrator details, including their printed name and signature, along with the date.
  6. Indicate whether you are applying for NATP or HHP by checking the appropriate box.
  7. Finally, ensure all required signatures are obtained before submitting your form through our platform for processing.

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Related links

Request for Nurse Assistant Training Program or Home Health

This clinical site approval expires with the program expiration date. THE NATP and HHP SHALL: . Not conduct any clinical training in the nursing facility priorRead more

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Nurse Aide Training

Email csinquiry@ccp.edu with questions or to request more information. Conditional enrollment is pending upon submission and approval of the required documents.Read more

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