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User Registration
User Registration
Email: (This will also be your username)
First Name:
Last Name:
Password:
Role:
Nurse
Nurse director
Trainer
Hub
RPA (Ruconest Patient Advocate)
Adminsitration
Pharmacist
Pharmacy tech
Other
Please enter your nurse identifier:
Other Role: Type in here
What type of company are you working for?
Specialty Pharmacy
HHA (Home Health Agency)
Vender
Copay
Patient Advocacy Organization
Other
Other Company: Type in here
What is the name of the company you are working for?
If applicable, please enter your HUB case ID:
Telephone:
Access Code: