Please complete the form below. Please note that your form will not be processed if any area is missing. After the survey you will be redirected to a "registration page". This is how you will pay the medication aide $15 fee. Please scroll down to find "Medication Aide Registration Fee". Once you complete this form and payment you will receive a certificate by EMAIL in 8-10 business days. If you are not transferred to the payment page please visit:


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