Registered Nurse Registration

Please fill out this form in full to register with Maxim Care Services.


  • You should allow at least 30 minutes to fill this on-line form in completely.
  • There are 10 pages to fill in and fields marked with a red star are mandatory. You will need to complete all mandatory fields to progress to each next page.
  • Do not use the back button on your browser.
  • For Proof Documents & Certificates to be uploaded, so please try and have these to hand before you start. NB. You do not have to upload each of these to submit your registration application but you will need to produce the relevant documents before your registration is accepted.
  • When the form is complete, you will receive an email to confirm you have submitted the application successfully.


Nurse Application Form

Fields marked with * are required

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