Nurse Form 2F PDF Details

As a nurse, it is important to have an understanding of the forms involved in patient care. One form that you may come across as a nurse is known as the Nurse Form 2F. This form can be used for various purposes such as for the purpose of documenting medical information about a patient, providing information to other members of staff regarding their assessment and treatment options, or for filing reports with health insurance companies for reimbursements. This post will explain in detail what Nurse Form 2F is, how to complete it correctly and efficiently, and any additional resources available on this particular form that could help nurses better manage their documentation requirements.

QuestionAnswer
Form NameNurse Form 2F
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesform nursing template, nysed form 2f, mediclinic learnership applications, form 2f nysed

Form Preview Example

Nurse Form 2F

Certification of Foreign Nursing Education

Applicant Instructions

The University of the State of New York

The State Education Department

Office of the Professions

Division of Professional Licensing Services

www.op.nysed.gov

1.Use this form ONLY if your nursing school is located outside the United States or its territories AND you were advised that

CGFNS did not obtain full documentation needed for a New York State nursing license review of your CGFNS Credentials Verification Service for New York State Application or you are not utilizing the services of CGFNS.

2.Complete Section I. In item 4, enter your name exactly as it appears on your Application for Licensure (Form 1). Be sure to sign and date item 8.

3.Have the professional school you attended complete the appropriate parts of Section II. Be sure to include any fee required by the school. The school of nursing must return the entire form in a sealed official school envelope along with an official transcript directly to the Office of the Professions at the address at the end of this form. If the transcript is not in English, a qualified translation is also required. For information on what constitutes a qualified translation, see our website www.op.nysed.gov/prof/geninfo.htm#verif. This form and transcript will NOT be accepted if submitted by the applicant or any person or agency other than the proper school authority.

Section I - Applicant Information

1.Check what you are applying for

Registered Professional Nurse

 

Licensed Practical Nurse

2. Social Security Number

 

 

 

 

 

 

 

 

 

3. Birth Date Month

 

 

 

 

 

 

 

 

 

 

 

(Leave this blank if you do not have a U.S. Social Security Number.)

Day

Year

4.Print Your Name Exactly As It Appears On Your Application for Licensure (Form 1).

Last

First

Middle

5.Mailing Address (You must notify the Department promptly of any address or name changes).

Line 1

Line 2

Line 3

City

State

Country/ Province

ZIP Code

6.Print your name as it appears on your degree or diploma

7.Nursing school attended

Address

Dates of attendance

from

 

 

 

to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

mo. day

 

yr.

 

 

mo. day yr.

Date degree/diploma was awarded

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

mo.

day

yr.

Name/Title of the Degree/Diploma issued to you

8.I request and give my permission to the school listed in item 7 above to complete Section II of this form and mail it to the New York State Education Department at the address at the end of this form, and to release any other information requested by the State Education Department in connection with my application for licensure.

Applicant's Signature

Date

Nurse Form 2F, Page 1 of 2, Revised 3/18

Section II - Certification of Nursing Education

Instructions to the School of Nursing: Complete Section II to document the applicant's education. Sign and date the certification and return both pages of this form along with an official transcript in a sealed official school envelope directly to the Office of the Professions at the address below. Do not return this form to the applicant. This form and transcript will NOT be accepted if returned by the applicant or any person or agency other than the proper school authority.

1.Name of the applicant

(see Section I, item 6)

2.Nursing school name Former school name Address

(Street)

 

 

 

 

 

 

City

 

(State/Province)

 

 

 

(ZIP Code)

 

(Country)

3. Nursing Program Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Length of the program

 

Language of instruction used

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of completion

 

 

 

 

 

 

 

 

 

 

 

Date of admission

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

mo. day yr.

 

 

mo.

 

day

 

 

yr.

 

 

 

Years of education required for admission

 

Date of graduation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

mo.

 

day

 

 

yr.

 

 

 

Title of degree or diploma awarded

Type of program

 

Baccalaureate

 

Diploma

Associate

Date degree or diploma was awarded

mo. day yr.

Other

This program was approved as preparing for licensed practice as a general or professional nurse or as an auxiliary/second level nurse

by:

Name of the Registration Authority who approved this program

Initial date the program was approved by the Registration Authority

mo. day yr.

If NOT approved for general nursing practice, please explain

Note: An official transcript or marksheets is issued by the school showing completed courses by year and grades and bears original school official's signature(s) and an original school seal(s). It must be received directly from the school along with this form in a sealed official school envelope.

Certification - To be completed by the Registrar

I hereby certify that to the best of my knowledge and belief the information in Section II is a true statement of the record of the professional education of the individual named on this form.

Signature of Registrar

Date

Print Name

Institution

Address

Institution Seal

Telephone

 

Fax

 

 

 

Email

Return Directly to: New York State Education Department, Office of the Professions, Division of Professional Licensing Services, Nurse Unit, 89 Washington Avenue, Albany, NY 12234-1000, U.S.A..

Nurse Form 2F, Page 2 of 2, Revised 3/18

How to Edit Nurse Form 2F Online for Free

Making use of the online editor for PDFs by FormsPal, it is easy to fill in or edit form 2f here and now. Our team is always working to improve the tool and make it much faster for people with its multiple functions. Enjoy an ever-evolving experience today! It merely requires a couple of easy steps:

Step 1: Hit the orange "Get Form" button above. It's going to open our pdf editor so you could start filling in your form.

Step 2: The tool helps you customize almost all PDF files in various ways. Improve it by writing your own text, correct what's already in the document, and place in a signature - all at your fingertips!

It is actually easy to fill out the pdf with this detailed guide! Here is what you want to do:

1. First of all, while completing the form 2f, start with the area with the subsequent blank fields:

form nursing form writing process clarified (stage 1)

2. Just after the first array of blanks is completed, go on to type in the applicable information in these: Nursing school attended, Address, Dates of attendance, from, day, day, Date degreediploma was awarded, day, NameTitle of the DegreeDiploma, I request and give my permission, Education Department at the, Applicants Signature, Date, and Nurse Form F Page of Revised.

Tips on how to fill in form nursing form stage 2

3. Completing Instructions to the School of, Name of the applicant, Nursing school name, Former school name, Address, see Section I item, Street, City, StateProvince, ZIP Code, Country, Nursing Program Information, Length of the program, Language of instruction used, and Date of admission is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

ZIP Code, Nursing Program Information, and Length of the program in form nursing form

4. Completing Type of program, Baccalaureate, Diploma, Associate, Other, This program was approved as, general or professional nurse or, auxiliarysecond level nurse, Name of the Registration Authority, Initial date the program was, day, If NOT approved for general, Note An official transcript or, Certification To be completed by, and I hereby certify that to the best is key in this part - always devote some time and be mindful with every single blank area!

Other, auxiliarysecond level nurse, and Type of program in form nursing form

Be very attentive while filling out Other and auxiliarysecond level nurse, because this is where most users make errors.

5. The pdf needs to be concluded by filling in this part. Below you will see a full listing of blanks that need to be filled out with appropriate details for your document submission to be faultless: Signature of Registrar, Date, Print Name, Institution, Address, Telephone, Email, Fax, Institution Seal, Return Directly to New York State, and Nurse Form F Page of Revised.

Date, Address, and Telephone in form nursing form

Step 3: After going through your fields, press "Done" and you are done and dusted! Go for a 7-day free trial subscription with us and obtain instant access to form 2f - accessible in your personal account. FormsPal guarantees your data privacy by using a protected system that in no way saves or distributes any sort of sensitive information involved in the process. You can relax knowing your docs are kept safe when you work with our tools!

Nurse Form 2F isn’t the one you’re looking for?

Related Documents