Please download and print the appropriate verification form based on your specialty. Upon completion of form, please upload to the Candidate Eligibility Review Request.
If you have any questions, please contact Casey Botkin at Casey.Botkin@sfdph.org, (415) 554-2916.
– Correctional Facility Nursing
– Critical Care Training Program
– Emergency Care Training Program
– General (Medical-Surgical, Perioperative and Psychiatric Training)
(No experience verification required for this specialty)
– Long Term Care Nursing-Geriatric Nursing
– Neonatal Intensive Care Nursing
– Neonatal Training
(No experience verification required for this specialty)
– Perinatal Training
(No experience verification required for this specialty)