Dialysis Patient Care Technician

• Initial Application - Includes instructions for completing application 
• Verification Form – The required form to show completion of worksite training

• Fee - $95/applicant non-refundable fee. In order to prevent a delay in processing, submit an individual check/money order for each application. Please see fee waiver information here.
• Reinstatement Application​
  
• Name Change Request 
• Address Change Request ​
• Registry Certification and Verification - To request a certification or verification of your license be sent directly to another state licensing agency 

National Certification Programs

To be registered as a dialysis patient care technician all applicants must pass an exam given by one of the following organizations. The exam must be completed within 18 months after becoming employed as a dialysis patient care technician. Neb. Rev. Stat. §38-3705(3). Proof of successful completion of a national certification examination (a photocopy of certificate) is to be submitted to Dialysis Patient Care Technician registry.

The Board of Nephrology Examiners Nursing Technology (BONENT) 

Nephrology Nursing Certification Commission (NNCC)

National Nephrology Certification Organization (NNCO)​

Vital Records

If you need a copy of your birth certificate or a copy of a marriage license or divorce decree (to show a name change), you can contact the DHHS Office of Vital Records if these events occurred in Nebraska.