Verifying preceptor hours

Re-certifying and verifying preceptor hours

The UW School of Nursing will provide verification of hours of preceptorship. This information can be used to complete the preceptorship verification forms, a requirement for re-certification by the American Nurses Credentialing Center and other organizations.

Forms and documentation

Many commonly used forms and details related to the documentation needed by certifying bodies is below:

Send the completed form

Please provide the completed form to the appropriate coordinator below:

Track

Coordinator

Email

Adult-Gerontology Nurse Practitioner Pam Barney uwagnp@uw.edu
Family Nurse Practitioner Kristine Tayamiya taka1@uw.edu
Nurse-Midwifery & Perinatal Clinical Nurse Specialist Judy Lazarus jlazarus@uw.edu
Pediatric Nurse Practitioner & Pediatric Clinical Nurse Specialist Jessie Marks jmarks15@uw.edu
Population Health Nursing Jenny Tsai jennyt@uw.edu
Psychiatric Mental Health Nurse Practitioner Anita Souza asouza@uw.edu

Remember to include instructions for returning the form to you. Please note that many certifying bodies will need the original document; faxes are not accepted.