Louisiana State Board of Nursing Information

The links below are forms for the Louisiana State Board of Nursing.  Forms should be typed, printed, and returned to either room 607 or 611.

Instructions for Application for Enrollment

These are the directions directly from the LSBN to help guide students in completing the forms below.

Download the Instructions for Application for Enrollment

Application for Admission to Enroll in a Clinical Course

All incoming students must complete this packet.

Note: If you mark "Yes" for question #4 in this packet, you will also need to fill out the Clinical Nursing Student Medical-Mental Condition Diagnostician/Treating Provider Form.

Download Summer Application

Download Fall Application

Fingerprint Authorization Form

All incoming students must complete this packet.

Download Fingerprint Authorization Form

LSBN Clinical Disclosure Form

This form should be used if a student needs to change their answer to one of the questions after they have already submitted the application. This can be used anytime while in school

Download LSBN Clinical Disclosure Form

Clinical Nursing Student Medical-Mental Condition Diagnostician/Treating Provider Form

This form is to be used for all incoming and continuing students marking "Yes" for a medical condition or prescribed medication. It must be completed by the physician.

Download Clinical Nursing Student Medical-Mental Condition Diagnostician/Treating Provider Form