California Board of Nursing Process
What do I send?
For the CA BON the release of information is contained directly on the APRN education verification form and requires your signature. The CA Pharmacology form is also a requirement. Please be sure to complete BOTH forms here. Your submission counts as your request.
How do I complete the CA APRN education and pharmacology verification forms?
Please fill in all blanks in the top section of each form. If a blank on the form does not apply to you, please indicate “N/A”. Please do not forget your signature. The name of your academic program is “UTA- College of Nursing and Health Innovation”. The name of your specialty will be one of the following:
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Adult Gero Acute Care NP
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Neonatal NP
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Adult Gero Primary Care NP
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Pediatric Acute Care NP
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Family NP
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Pediatric Primary Care NP
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Psychiatric Mental Health NP
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If you did not complete your pharmacology course at UTA please send the pharmacology form to the institution where it was completed. The institution will complete your pharmacology form via their verification process.
Where should I send my request?
All completed forms should be submitted using the link at the end of the page.