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NE DHHS Application for Certification as a Physical Therapist Assistant (PTA) 2018 free printable template

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Effective: 06/23/2012 Revised: 10/05/2018Division of Public Health, Licensure Unit, Rehab Section 301 Centennial Mall South PO Box 94986 Lincoln NE 685094986 Phone: 402/4712299 NEBRASKA APPLICATION
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NE DHHS Application for Certification as a Physical Therapist Assistant (PTA) Form Versions

How to fill out NE DHHS Application for Certification as a Physical formrapist

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How to fill out NE DHHS Application for Certification as a Physical Therapist Assistant

01
Visit the Nebraska Department of Health & Human Services (DHHS) website.
02
Download the NE DHHS Application for Certification as a Physical Therapist Assistant.
03
Fill out the personal information section with your name, address, and contact details.
04
Provide your educational background, including the name of the institution and graduation date.
05
Complete the sections related to your work experience and clinical hours.
06
Include any continuing education courses you have completed.
07
Prepare the required documentation, including proof of education and any additional certificates.
08
Pay the application fee as specified on the DHHS website.
09
Review the entire application for completeness and accuracy.
10
Submit the application via the method outlined on the DHHS website.

Who needs NE DHHS Application for Certification as a Physical Therapist Assistant?

01
Individuals who have completed an accredited Physical Therapist Assistant program.
02
Those seeking to become licensed to practice as Physical Therapist Assistants in Nebraska.
03
Professionals looking to expand their clinical practice opportunities in the state.
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The NE DHHS Application for Certification as a Physical Therapist Assistant is a formal application process administered by the Nebraska Department of Health and Human Services, which allows individuals to obtain the necessary certification to practice as a Physical Therapist Assistant in the state of Nebraska.
Individuals who have completed an accredited Physical Therapist Assistant program and wish to practice as Physical Therapist Assistants in Nebraska are required to file the NE DHHS Application for Certification.
To fill out the NE DHHS Application for Certification, applicants must provide personal information, education details, proof of graduation, and pass required examinations. The application can typically be completed online or downloaded for submission.
The purpose of the NE DHHS Application for Certification as a Physical Therapist Assistant is to ensure that individuals meet the necessary qualifications and standards to practice safely and effectively as Physical Therapist Assistants in Nebraska.
The information that must be reported includes personal identification details, educational background, the name of the accredited PTA program, examination results, work history, and any disciplinary actions or criminal history if applicable.
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