Nebraska Department of Health and Human Services
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Electrology Applications

These forms may be completed online, however, they cannot be submitted via e-mail due to the fact that all applications and forms require original signatures. If you complete the form online, you must print the form and mail it to the address listed.

pdf icon Instructor Student Registration

pdf icon License By Examination

pdf icon License By Waiver of Examination/Reciprocity

pdf icon Student Registration

pdf icon Temporary Practitioner

Continuing Education

pdf icon Continuing Education Program

pdf icon Continuing Education Program Approved by Another State

pdf icon Guest Artist Registration for a Continuing Education Program

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