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Pensra

Register for Clinic

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Matches | Locations | Become a Referee | Evaluate a Referee

If you are not currently a participating Pensra User and you would like to register yourself for a Pensra Clinic, please complete the following information in it's entirety and click "Register" at the bottom of the page.

Clinic Registration
Name
Address
CityState Zip
GenderBirthdatemm/dd/yyyy
Email
Phone
Emergency
Contact
Phone=
Action

 

 

 

STEPS TO REGISTER FOR A CLINIC

        1. Register on this page.
        2. You are sent to "Accept the Site Use Agreement" -   Read and Click the Button on the bottom 
        3. Click on Services   - left edge of screen
        4. Click on Services:Clinics

PLEASE NOTE THESE INSTRUCTIONS

 

You are properly registered for the Clinic when you receive a message like this:

Confirmation of Enrollment has been sent to {your Email address}

If you do not see a message similar to this, YOU ARE NOT REGISTERED for the Clinic.