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HHA STUDENT FORMS

Complete your HHA payment, enrollment forms, and required and documents. Access to forms is provided after payment and eligibility confirmed. 

I NEED TO ADD HHA

For students currently enrolled in Bell's Nurse Assistant (NA) program who have not yet paid the HHA program fee.  You must elect HHA and complete payment before your (NA) program ends. 

Secure payment through Stripe

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IMPORTANT

This section is for current Bell Nurse Assistant  students only. Payment does not confirm or override eligibility.

I  ALREADY PAID FOR HHA

Continue to your HHA enrollment forms, fact sheet, health clearance, and document upload

1. Begin HHA Enrollment

Start your HHA enrollment. Payment and current enrollment will be verified. You will receive access to the application.

Payment verification required.

2. HHA Student Performance Fact Sheet

Review important program information, expectations, and required student fact sheet.

PDF Document

3. Physical & TB Clearance Form

Download the physical and TB clearance form. Must be completed by your healthcare provider.

PDF Document

4. Upload Completed HHA Documents

Upload your completed application (CDPH 283D) and any required supporting documents securely.

Secure Upload Portal

  • Only current or eligible students who have paid for the HHA add-on are eligible to submit forms.

  • Your application (CDPH 283D) will be provided after payment is confirmed by our team.

  • Incomplete documents may delay processing and class payment.

  • Questions? Contact your instructor or the office.

NEED HELP?

Our team is here to support you. Contact the office if you have any questions about forms or enrollment

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