Please select the type of organization you represent.
Who should enroll using this option?
If you work in a Medical Organization use this option by selecting your type of organization below.
Note: If you represent more than one organization, enroll under Medical Group below.
   Enroll a Physician Office
   Enroll a Hospital
Who should enroll using this option?
If you work in a publicly funded organization use this option by selecting your type of organization below.
 
   Public Health Department
   Community Health Center
   Job Corp/Indian Health Services
   State Agency
Who should enroll using this option?
If you work in a Pharmacy use this option by selecting your type of organization below.
 
   Enroll a Pharmacy
   Enroll a Pharmacy Network/Chain
Who should enroll using this option?
If you represent a Medical Group use this option by selecting your type of group below.
 
   Enroll a Group of Physician Offices
   Enroll a Hospital Network
Who should enroll using this option?
If you work in a public or private school or college or child care or head start. Use this option.
 
   School
   School District
   Child Care
   Head Start