How to update your EMRA Program Representative EMRA

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Program Representative Responsibilities

Program Name

Your Name (Firstname and Lastname)

Email for confirmation

Representative #1

Name of Representative (Firstname and Lastname)

Member # (if known)

Status Selection

Representative Type

Main

Alternate

Begin Date (MM/DD/YYYY)

End Date (MM/DD/YYYY)

Preferred Email Address

Representative #2

Name of Representative (Firstname and Lastname)

Member Number (if known)

Status

Representative Type

Main

Alternate

Begin Date (MM/DD/YYYY)

End Date (MM/DD/YYYY)

Email Address

Submit

How to update your EMRA Program Representative

Representative #1

Representative Type

Representative #2

Representative Type

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How to update your EMRA Program Representative

Representative #1

Representative Type

Representative #2

Representative Type

Related Content

Working with Nurses and Alternate Practitioners

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