Registration

  1. For the best experience, do not use the refresh, stop, back or forward buttons on the browser and only single-click buttons within a page.
  2. An asterisk (*) indicates a required field. You will be alerted if the required information has not been entered.
  3. For your security, all communications are encrypted and you will be logged out automatically if you are inactive for more than 30 minutes.
  4. We recommend the latest version of Microsoft Internet Explorer for Windows, Mozilla Firefox for Mac or PC, Apple Safari for Mac or PC or Google Chrome for Mac or PC with JavaScript enabled and pop-up blocker turned off to use this site. Please see your browser's help file for more information.

Volunteer Opportunities

Required field Join Active Statewide Response: As a volunteer to the "Arizona emergency system for advanced registration of volunteer health professionals" (AZ ESARVHP) join the State Medical Volunteers & Professionals Team (MVP team) and participate in active emergency response operations. Receive alerts on active incidents (e.g. COVID-19, Wildfire, etc.): All participation is voluntary - you can decline a call to service at any time.

Required field Join Local Response Teams: As a volunteer you can affiliate with either the County/Tribe Public Health Department, Medical Reserve Corps (MRC), or other local teams serving the community. Volunteers have opportunities to serve in both no-emergencies and real world emergency events.

Account Information

Creating an account is the first step in the Arizona Emergency System for Advance Registration of Volunteer Health Professionals registration process. You will use your account username and password each time you log into Arizona Emergency System for Advance Registration of Volunteer Health Professionals.

The username must be at least six (6) characters long and cannot contain spaces. Acceptable characters include alphanumeric (A-Z, 0-9) and the symbols @, ., -, and _. Usernames are not case sensitive.






Terms of Service and Privacy Policy

Required field Terms of Service:


Required field Information Pledge:


Required field Authorization:


Name and Address

Example: Dr., Col., Mr., Mrs., Ms.





Example: Jr., Sr., MD., PhD, RN






Required fieldCounty or Tribe of Residence:

If you are a tribal member, a tribal designee, or currently employed by a tribal government, please enter a Tribe of Residence.










Identifying Information

SSN is used to verify certain licensure information and for identification purposes.

Contact Information

Primary Email Address
If you have an email account, it is important for you to provide this information. Without your email address, you may miss important messages and notifications. Please note that the system will not allow two accounts with the same email address. If you do not have an email address or your email address is already registered with the system, you can learn more about obtaining a free email address by clicking here.
Add Email Address
Contact Method 1

x




Add Another Contact Method

Occupation Information