Registration Forms

Parkinson’s Nebraska Class Registration

To complete your registration please click on the links below and fill out the forms provided. Print the forms and mail them to us with your check payable to Parkinson’s Nebraska to:

Parkinson’s Nebraska
16811 Burdette Street, Suite 1
Omaha, NE 68116.

Classes are open to persons diagnosed with Parkinson’s disease and/or a care partner or spouse. We want to make our classes available to all with Parkinson’s. If you want to join a class, but can’t afford the copay, please call our office and arrangements will be made. Questions about the registration process? Email

Parkinson’s Nebraska Physician Statement and Clearance Form

Parkinson’s Nebraska Waiver Form

Parkinson’s Nebraska Media Release Form