NE DHHS Application for Certification as a Physical Therapist Assistant (PTA) 2021-2025 free printable template
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Effective: 06×23/2012
Revised: 03×08/2021Division of Public Health, Licensure Unit, Rehab
Section 301 Centennial Mall South
PO Box 94986
Lincoln NE 685094986
Phone: 402×4712299NEBRASKA APPLICATION
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How to fill out NE DHHS Application for Certification as a Physical formrapist
How to fill out NE DHHS Application for Certification as a Physical Therapist Assistant
01
Visit the Nebraska DHHS website to download the application form for certification as a Physical Therapist Assistant.
02
Complete the application form thoroughly, providing personal information including your name, address, and contact details.
03
Provide details of your education, including the name of the institution, graduation date, and any relevant coursework.
04
Include documentation of your clinical experience, detailing the hours worked and the type of work performed.
05
Gather and attach official transcripts from your educational institution.
06
Obtain and submit a criminal background check as required by the application guidelines.
07
Pay the required application fee via the method specified on the website.
08
Review your application for completeness and accuracy before submission.
09
Submit the completed application and all accompanying documents to the Nebraska DHHS office as instructed.
Who needs NE DHHS Application for Certification as a Physical Therapist Assistant?
01
Individuals who have completed an accredited program in physical therapy assisting and wish to practice in Nebraska.
02
New graduates seeking certification to work as Physical Therapist Assistants in Nebraska.
03
Licensed Physical Therapist Assistants from other states looking to obtain certification in Nebraska.
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What is NE DHHS Application for Certification as a Physical Therapist Assistant?
The NE DHHS Application for Certification as a Physical Therapist Assistant is a formal request submitted to the Nebraska Department of Health and Human Services to obtain certification as a Physical Therapist Assistant, which is necessary to practice in the state.
Who is required to file NE DHHS Application for Certification as a Physical Therapist Assistant?
Individuals who have completed an accredited Physical Therapist Assistant program and wish to practice in Nebraska are required to file the NE DHHS Application for Certification.
How to fill out NE DHHS Application for Certification as a Physical Therapist Assistant?
To fill out the NE DHHS Application for Certification, applicants must provide personal information, educational background, and details of any licensure examinations taken, along with the required fee. It is important to carefully follow the instructions provided on the application form.
What is the purpose of NE DHHS Application for Certification as a Physical Therapist Assistant?
The purpose of the NE DHHS Application for Certification is to ensure that individuals meet the necessary qualifications and standards to practice safely and effectively as a Physical Therapist Assistant in Nebraska.
What information must be reported on NE DHHS Application for Certification as a Physical Therapist Assistant?
The application must report personal identification information, educational qualifications, details of any prior certifications or licenses, history of any criminal convictions, and any other relevant information required by the Nebraska Department of Health and Human Services.
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