Re-registered aides must have provided for compensation, nursing or nursing-related services for at least 7.5 consecutive hours or 8 hours in a 48-hour period, all within the last 24 months.
Last Date Used: The last date the nurse aide worked as an aide in your facility.
Registration: Failure to complete this form accurately may possibly cause the nurse aides' registration to expire.
Incomplete forms: Incomplete forms will be returned for correction.
Not Medicare certified: If your facility is not Medicare certified, the Registry will return the completed HEA 7713 and request a statement by a physician or nurse.
Contact: Contact the Nurse Aide Registry by e-mail at NAR@odh.ohio.gov.
| Question | Answer |
|---|---|
| Form Name | Ohio Nurse Aide Registration Form |
| Form Length | 6 pages |
| Fillable? | Yes |
| Fillable fields | 322 |
| Avg. time to fill out | 18 min |
| Edition | Rev. 04/24/2015 |
| Issuing agency | Ohio Department of Health |
| Other names | HEA 7713, Nurse Aide Registration Form, Ohio Nurse Aide Registry form |
| Official source | Nurse Aide Registration Form (Facility), Form HEA 7713 (Rev. 04/24/2015), Ohio Department of Health |
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