Welcome to Healthcare Professional Upload Portal. To get started, please choose from the New, Renewal, or Reactivation Applications below.
New Applications
Certified Nurse Assistant Initial Application (CDPH 283 B Form), Live Scan Form (BCIA 8016).
Certified Hemodialysis Technician Initial Application (CDPH 283 F Form), High School Diploma, Proof of passing exam.
Home Health Aide Initial Application (CDPH 283 D Form), Live Scan Form (BCIA 8016).
Renewal Applications
Certified Nurse Assistant/Home Health Aide Renewal Application (CDPH 283 C Form), CEUS.
Certified Hemodialysis Technician Renewal Application (CDPH 283 G Form), CEUS.
Certified Nurse Assistant/Home Health Aide Renewal Application (CDPH 283 C Form), CEUS.
Reactivation Application
Certified Nurse Assistant/Home Health Aide Renewal Application (CDPH 283 C Form).