Dhhs ne licensureDocumentsSTATE OF NEBRASKA - Nebraska Department of Health & Human 2025

1. Click ‘Get Form’ to open the application for certification as a Physical Therapist Assistant in the editor.
2. Begin by filling out your personal information in Section B, including your name, address, and date of birth. Ensure all details are accurate.
3. In Section C, disclose any misdemeanor or felony convictions. Be thorough and provide necessary documentation if applicable.
4. Complete Section D based on your application category—whether by examination or certification from another jurisdiction. Follow the prompts carefully.
5. Gather required documents such as proof of citizenship, education transcripts, and criminal background check forms. Upload these documents directly within the editor.
6. Review all sections for completeness before submitting your application to ensure no information is missing.

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