Download Paper Registration

If you are unable to register using the online system, you can complete a paper registration and submit it to DHSS.

PDF Paper Registration Form

You will need Adobe Acrobat Reader Installed on your computer to open and read the PDF files. Adobe Acrobat Reader is free software. Click on the Get Adobe Reader icon to download.

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All reasonable efforts, in accordance with the federal guidelines for Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP), have been made to ascertain the credentials of individuals interested in becoming a volunteer.