Psychiatric Nurse Practitioner
Quarterly Report

How to Submit Psychiatric Nurse Practitioner Quarterly Reports

There are now 2 ways to submit your quarterly report to TCWD:

   1. Online Submission: Please click here to access the online quarterly report. An automatic email will be sent to your practice site contact for confirmation of employment (administrator/manager will not need to sign form). 

   2. Download Form: Please download this form and submit via email to TCWD@tha.com. Please note site administrator/manager signature is required on the downloaded form. Completed forms may be submitted via email TCWD@THA.com, faxed to 615.242.4803, or mailed to the address below: 

   Tennessee Center for Health Workforce Development
   5201 Virginia Way
   Brentwood, TN 37027