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Medication Aide Certification Application Application

Michigan requirements for Medication Aide Certification include:

Successfully passing both the knowledge and skill components of the Medication Aide exam
Holding an active Nurse Aide certificate in the state of Michigan
Working 2,000 hours as a Nurse Aide

Your application is not complete until the required information is complete, then select “Send Application.”

*This application is non-refundable*

Legal First Name

Middle

Legal Last Name

Birthdate

Phone

SSN

Address

City

State

Zipcode

Nurse Aide Certification

Nurse Aide Certification Number

Affidavit

I have successfully passed both components of the Medication Aide exam.
I have an active Nurse Aide certificate and I have worked 2,000 hours as a CNA

By Submitting

I hereby verify that I understand and agree with the statements contained herein and the above information is true and correct.

Application Fee $160.00

Non-Refundable. All fees are non-refundable.

Cardholder Name

Card Number

Exp Month

Exp Year

Security Code

Cardholder Address

City

State

Zip Code