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- ☐ Please ensure you have completed this work history form
(Please print multiple copies if you need more than one employer or supervisor to confirm your clinical hours.)
- ☐ Submit a certificate of completion provided to you by an NMTCB approved source of comprehensive courses
Complete this didactic education reporting form
for applicants that did not take a comprehensive course.
- ☐ Return fully completed work history form to the NMTCB office at:
- By email to Elizabeth Rhodes at
- Fax to Elizabeth Rhodes at 404-315-6502 -OR-
- Mail via USPS to:
NMTCB - Attn:Examinations Manager
3558 Habersham at Northlake, Building I
Tucker, GA 30084