We are a valuable resource for Nebraska health and health-related service professionals experiencing alcohol/drug abuse or addiction.

Forms

Authorization to Release Information

Authorization to Release Information to Treatment Provider

Enrollment Packet

Meeting Verification

Monitoring/Progress Report

• Home
• Education
• Links
• FAQ
• Newsletter
• Brochure
• Contact Us
• Forms
• Privacy
• Disclaimer

This activity is supported, in whole or part, under contract with the Nebraska Department of Administrative Services from licensee, certificate holder and registrant fees paid to the Nebraska Department of Health and Human Services, Division of Public Health, Licensure Unit.