This registration session will allow you to complete contact information, sign up for participation, and submit payment. Please make sure you have renewed or completed new membership with USAV Gulf Coast Region. You will need your USAV Membership number to complete PIVC Evaluation Sign Up.
Please read through each page carefully to ensure that all information is provided accurately.
To complete registration through our secure site, please have your Visa or MasterCard information available.
***REQUIRED FOR EVALS***Completed Medical Release & USAV Membership with Gulf Coast Region
Please direct any questions regarding this registration to:
Phone: (251) 609-3191
Select an option to continue with the registration.