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Providing your details helps inform our free programs and resources and connects you with news and updates related to your role (1-2 emails/month).

Prehospital practitioner (EMT, paramedic)

Nurse (RN, LVN/LPN)

Advanced practice practitioner (NP, PA)

Physician (MD, DO)

EMSC Program staff or grantee

Parent/caregiver

Researcher

Trauma Center or Program staff

Other health professional or provider (MA, CLS, LICSW, CRT)

Other non-health professional or provider

Please specify your role

If not listed above.

What care setting do you primarily work in?

EMS agency or fire department

Emergency department and/or trauma center

Other clinical setting

Indicate your ED, EMS agency and/or fire department name (Select up to three)

If your agency or department is not listed above, specify

Please make sure you have searched for your agency or department's full, official name above before adding it.

City/town of your primary ED, EMS agency, or fire department.

Are you a pediatric emergency care coordinator (PECC)/pediatric champion?

Is your position funded through the EMSC Program (in part or full)?*

Yes

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Password confirmation*

Enter the same password as before, for verification.