Forms

Licensing

Renewal of Kansas nursing license
License Renewal Application

Reinstatement of previous Kansas license
Reinstatement Application (All Professions)
Affidavit of Work Hours

Endorsement from another state
Endorsement Application (All Professions)
Legal Issues Reference Packet
Affidavit of Work Hours
Request Nursys Verification Request

Advanced Practice
Advanced Practice Application
Nurse-Midwife Affidavit

Examinations and Foreign Applications
Initial License
Waiver Agreement and Statement Fingerprint-Based Record Checks for Noncriminal Justice Purposes
Legal Issues Reference Packet
Test Before Transcript
Petition for Examination Test or Retest
Instructions for Foreign Nurses

Miscellaneous Licensing
Address Change
Change of Name Certificate
Duplicate License Affidavit
IV Therapy Application
APRN State to State Verification
Additional Wall Certificate Order Form for any License

DEA

Controlled Substance Verification

Legal

How to File a Complaint

Education

Individual Offering Approval (IOA)
Long-Term Provider Application and Guidelines
Single Program Application and Guidelines
IV Therapy Provider Application
Long Term Provider Annual Report Form
IV Therapy Roster
IV Therapy Competency Checklist
IV Therapy Annual Report Form

Records Inspection

Information Request Form

Other

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