210 Neb. Admin. Code, ch. 32, § 009
A qualified health care provider shall provide notice to his or her patients that he or she has qualified under the Act by continuously posting in his or her waiting room or other suitable location a sign stating:
(Name of Health Care Provider) has qualified under the provisions of the Nebraska Hospital-Medical Liability Act. Patients will be subject to the terms and conditions of the Act unless they file a refusal to be bound by that Act with the Director of Insurance of the State of Nebraska.
In addition to the foregoing information, the sign may include the following language:
This notice is being provided as required by the Nebraska Hospital-Medical Liability Act Neb.Rev.Stat. §44-2821(4), as amended.
The sign to be posted will measure at least 8 1/2" x 11" and shall be printed in substantially similar size and style of type as that used in the attached notice.
210 Neb. Admin. Code, ch. 32, § 009