Please select a profession or category from the dropdown, to view related forms.
Initial applications for Certified Nurse Aide by Examination in Virginia are processed through the testing service - Credentia. Please click here to link to Credentia's website for information and an application to sit for the Virginia Nurse Aide Competency Test ("State Board").
If you are unsure of how to apply, please see our Application Wizard for guidance.
In order to qualify as an advanced certified nurse aide, you must meet the requirements set forth under 18VAC90-25-110 (A):
For more information on Compliance, please visit our FAQ page, and select the topic named "Compliance with a Nursing Board Order"
Drug Log For Prescribers (.xls)
Please use our Application Wizard for guidance on how to apply for initial licensure as a Practical Nurse.
Applications for initial licensure as a Practical Nurse by Endorsement or Examination are accepted exclusively through our online system.
Please use our Application Wizard for guidance on how to apply for initial licensure as a Registered Nurse.
Applications for initial licensure as a Registered Nurse by Endorsement or Examination are accepted exclusively through our online system.
Please use our Application Wizard for guidance on how to apply for initial licensure as a Advanced Practice Registered Nurse.
Applications for initial licensure as an Advanced Practice Registered Nurse are accepted exclusively online.
NOTE: If you already have an Advanced Practice Registered Nurse license and you wish to add additional specialties, you will need to contact the Board of Nursing at (804) 367-4515 to have a paper Application for Licensure as an Advanced Practice Registered Nurse mailed to you. You cannot use the online advanced practice registered nurse application process to apply for additional specialties.
Application Instructions for Licensure - Advanced Practice Registered Nurse
Autonomous Practice Application - Advanced Practice Registered Nurses with the equivalent of 5 years of full-time clinical experience may apply for full practice authority.
APRN license or RX Authority Reinstatement Application (Lapsed or Expired)
APRN License or RX Authority Reinstatement Application (Suspension or Revocation)
The Committee of the Joint Boards of Nursing and Medicine promulgated regulation changes that resulted in the elimination of the requirement for nurse practitioners to obtain/maintain a separate prescriptive (Rx) authority license (#0017). Read more here.
NOTE: If you already have a Nurse Practitioner license and you wish to add Authorization to Prescribe (Prescriptive Authority), you will need to contact the Board of Nursing at (804) 367-4515 to have a paper Application for Licensure as a License Nurse Practitioner mailed to you. You cannot use the online nurse practitioner application process to apply for additional specialties.
Please use our Application Wizard for guidance on how to apply for a license as a Massage Therapist
Applications for licensure as a Massage Therapist are accepted exclusively through our online system.
Checklist Instructions for Licensure by Endorsement as a Massage Therapist
Verification Form - Massage Therapist (form required for applicants applying to Virginia who have been licensed/certified/ registered as a massage therapist in another state/jurisdiction)
Checklist Instructions for Initial Licensure as a Massage Therapist
Checklist Instructions and Application for Reinstatement as a Massage Therapist
Checklist Instructions and Application for Reinstatement as a Massage Therapist following Suspension or Revocation
Please use our Application Wizard to help determine how to apply for initial registration as a Medication Aide
Applications for initial registration as a Medication Aide by Examination or Endorsement are accepted exclusively through our online system.
Candidate Information Bulletin from PSI
Reinstatement Application Forms
Application and Instructions for Reinstatement of Medication Aide Registration
Note: You are not required to file a volunteer practice registration application if you hold a current unrestricted license or a multi-state privilege to practice nursing in Virginia.
Instructions and Application for Registration for Volunteer Nursing Practice
Volunteer Practice Sponsor Form
Click here to view applicable nursing regulation 18 VAC 90-19-200
Instructions and Application for Restricted Volunteer Nursing License
Click here to view § 54.1-3011.01. Restricted volunteer license for registered or practical nurses
Click here to view § 54.1-2957.001. Restricted volunteer license for nurse practitioners
Request Form for Change of Status from Inactive to Active (Registered or Practical Nurses)
This is a PDF form that will need to be printed, filled out and sent to:
Virginia Board of Nursing
9960 Mayland Drive, Suite 300
Henrico, Virginia 23233-1463
Name Change Information
All licensees/applicants wishing to change their name with the Board must submit their request using the Nursing Name Change Form. Follow the instructions on the form when the required information is submitted.
Pursuant to 18 VAC 90-19-50 (B) a copy of one of the following documents must accompany a name change request:
• Marriage Certificate
• Certificate of Naturalization
• Court Order
Out-of-State Practitioner Reporting Form
Virginia Code § 54.1-2408.4, enacted by Chapter 464 of the 2022 Acts of Assembly, permits health care practitioners licensed, certified, or registered in another state or the District of Columbia to temporarily practice in the Commonwealth for 90 days provided certain provisions are met. These individuals may only practice temporarily for 90 days after receiving an offer of employment or contract for services from: (1) a hospital licensed by the Virginia Department of Health, (2) a nursing home, (3) a dialysis facility, (4) the Virginia Department of Health, or (5) a local health department.
Eligible employers and contract service recipients must fill out this form and submit it to the Board before the practitioner begins temporarily practicing in Virginia.
Virginia Board of Nursing
Jay P. Douglas, MSM, RN, CSAC, FRE, Executive Director
Cynthia M. Swineford, MSN, RN, CNE, President