Name and Address Change
To request an address change, you can contact any staff member at (402) 471-2299 or e-mail Sue Kopera-Crumb at susan.koperacrumb@nebraska.gov.
When the request is to return to a name that is already on the registry record (e.g., maiden name or previous married name), written proof of the legal basis for the name change is not required.
If you wish to change your name on your Licensing & Regulatory Affairs record, you must complete the
Affidavit of Name Change form and submit it along with a copy of the legal document verifying name change to:
Licensure Unit
Chiropractic
P.O. Box 94986
Lincoln, NE 68509-4986
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Duplicates/Reissue
Duplicates: A duplicate large license or small license card may be requested at the time of initial licensure. A $10.00 fee, per document, is required.
Reissue: A large license and/or small license card may be reissued when the licensee requests: additional documents; replacement of original document(s) due to loss, mutilation or destruction; or replacement of document(s) due to a name change.
To request a reissued license, you must submit a
request for reissuance, and include a fee in the amount of $10.00 per document. Submit said request to:
Licensure Unit
Chiropractic
PO Box 94986
Lincoln, NE 68509-4986
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Rules and Regulations/Statutes
Regulations Governing the Practice of Chiropractic - 172 NAC 29
Regulations Defining and Governing the use of Routine Procedures by Chiropractors - 172 NAC 30
Rules and Regulations concerning the Reporting and Control of Communicable Diseases and Poisonings - 173 NAC 1
Statutes Relating to Chiropractic
Statutes relating to the Uniform Credentialing Act
Regulations relating to Mandatory Reporting
Mandatory Reporting Forms
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Board Information
The Board of Chiropractic advises the Department of Health and Human Services Regulation and Licensure on all issues related to the regulation of chiropractic. The composition of the board is three Doctors of Chiropractors and one consumer/public member.
Membership: |
3 Doctors of Chiropractors 1 Public Member |
Length of Term: |
5 years, no more than 2 consecutive full 5-year terms. |
Professional Requirements: |
Been actively engaged in the practice of chiropractic in the State of Nebraska, under a license issued in this state, for a period of 5 years just preceding his/her appointment. |
Public Member: |
- Be a resident of this state who has attained the age of majority;
- Represent the interests and viewpoints of consumers; and
- Not be a present or former member of a credentialed profession, an employee of a member of a credentialed profession, or an immediate family or household member of any person presently regulated by such board.
|
The Board of Chiropractic meets at least 1 time per year - see Board meeting Schedule for meeting dates and times. Meetings are open to the public, with the exception of investigational matters. Minutes of meeting are available here or by contacting Bill Wisell at (402) 471-2299 or by e-mail at bill.wisell@nebraska.gov.
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Contact Us
Office Address:
Mailing Address |
Physical Address |
Nebraska Department of Health and Human Services Division of Public Health
Licensure Unit PO Box 94986 Lincoln, NE 68509-4986 |
Nebraska State OfficeBuilding 301 Centennial Mall South 14th and M Streets 3rd Floor Lincoln, Nebraska |
Phone: (402) 471-2115
Fax: (402) 471-3577
Office Hours:
8:00 a.m. to 5:00 p.m. (central time)
Monday through Friday
Chiropractic Licensing & Continuing Education Questions:
Sue Kopera-Crumb
Health Licensing Specialist
Phone: (402) 471-2299
e-mail: susan.koperacrumb@nebraska.gov
Chiropractic Scope of Practice & Board Related Questions:
Bill Wisell
Health Licensing Coordinator
Phone: (402) 471-2299
e-mail: Bill.wisell@nebraska.gov
Chiropractic Scope of Practice Questions
Rene Tiedt, Office Administrator
Phone: (402) 471-2299
e-mail: rene.tiedt@nebraska.gov
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Other Related Contacts
Nebraska Chiropractic Physicians Association
Lou Andersen, CEO
13215 Birch Street, Suite 200
Omaha, NE 68164
Phone: (402) 934-4744
e-mail: lwortman@ncpa.net
National Board of Chiropractic Examiners
901 54th Avenue
Greeley, CO 80634
Phone: (970) 356-9100
Fax: (970) 356-6134
www.nbce.org
Federation of Chiropractic Licensing Boards
5401 W. 10th Street, Suite 101
Greeley, Co 80634-4400
Phone: (303) 356-3500
Fax: (970) 356-3599
e-mail: fclb@fclb.org
www.fclb.org
American Chiropractic Association
1701 Clarendon Blvd
Arlington, VA 22209
Phone: (703) 276-8800 or (800) 986-4636
Fax: (703) 243-2593
www.amerchiro.org
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Brochures
Chemical Dependency in Health Care Professionals
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Certification/Verification
Certification and Verification information can be obtained by checking the website.
OR
To request either a certification or verification or your license to be sent to another Licensing & Regulatory Affairs/state licensing agency, send your request in writing along with the proper fee to the our office. Checks should be made payable to DHHS/Licensure UnitCertification:
Fee - $25.00
Certification includes:
Name
Profession
License number
Issuance date
Expiration date
School and date of graduation
Whether the license was granted by examination or reciprocity
Examination information, if available
Whether disciplinary action has been taken against the license. If so, the type(s) and date(s) of the action will be included.
Administrator signature
SEAL of the Nebraska Department of Health & Human Services
Verification:
1. Fee - $5.00
2. Verification includes written conformation as to whether a license or registration was valid at the time the request was made:
a. Name
b. Profession
c. License Number
d. Expiration Date
e. Department Staff Signature
A verification does not include the SEAL of the Nebraska Department of Health & Human Services nor information relating to discipline, school, or examination.
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Licensee Assistance Program
The Licensee Assistance Program (LAP) is an assessment, education, referral, case management, and monitoring service designed to help licensees, certificate holders, and registrants of the State of Nebraska work through substance abuse/addiction problems.
The LAP services are free. However, in some cases treatment from a community resource agency may be needed. If further assistance is needed, the LAP Coordinator will help refer the Licensee to the most appropriate agency. When a treatment referral is made, those expenses become the responsibility of the Licensee.
This program was authorized by
Neb. Rev. Stat. §38-175 and is funded by license fees.
LAP telephone number: (800) 851-2336 or (402) 354-8055. You may also visit their website at www.lapne.org
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Complaints
How do I file a complaint? To file a complaint, see the Investigations Division web site: www.dhhs.ne.gov/reg/investi.htm
What activities must be reported by a licensee, certificate holder, or registrant? Every credentialed person who has first-hand knowledge of unlicensed, illegal or unethical activities is required to report (includes self-reporting) within 30 days of the occurrence. Failure to report may result in discipline. To view additional information relating to mandatory reporting, click on the options below:
Mandatory Reporting Forms
Mandatory Reporting Summary (chart showing who is to report and what is to be reported)
Mandatory Reporting Regulations
Mandatory Reporting shall not apply:
to the spouse of the person,
to a practitioner who is providing treatment to such person in a practitioner-patient relationship concerning information obtained or discovered in the course of treatment unless the treating practitioner determines that the condition of the person may be of a nature which constitutes a danger to the public health and safety by the person's continued practice, or
when a credentialed person who is chemically impaired enters the Licensee Assistance Program authorized by
Neb. Rev. Stat. § 38-175 except as provided in such section.
How is a complaint reviewed, and what is the disciplinary process? The following provides information relating to the complaint, investigative, and disciplinary process.
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