If you run out of the forms that were initially supplied with your contract, you may click on the links and print the PDF forms to the right.

Please email, mail or fax the completed forms to:

Email completed form to:
Compliance Coordinator
compliance@nevadanursingboard.org
or
Mail completed form to:
Nevada State Board of Nursing
5011 Meadowood Mall Way #300
Reno, NV 89502-6547
or
Fax completed form to:
(775) 687-7729 (fax)
Please do not fax multiple copies

• 12-Step Attendance
• 90 in 90 AA Meetings
• After Care
• CNA Initial Supervisor Report
• CNA Supervisor Report
• Didactic Instruction 80 Hours
• Individual Counseling 20 Hours
• Licensed Counselor Report
• Nurse Initial Supervisor Report
• Nurse Supervisor Report
• Physician/Practitioner Report
• Process Group 80 Hours
• Self Report (SUD)
• Self Report (Practice)
• Sponsor Report
• Nurse Support Group Attendance