OASAS Account

NYS Office of Addiction Services and Supports (NYS OASAS)

Interprofessional Continuing Education

This registration form pertains to Physicians, Registered Nurses, Nurse Practitioners, Pharmacists, and Pharmacy Technicians only. Please go here to register if these do not apply to you.

Your profession: *

Physician Registered Nurse Nurse Practitioner Pharmacist Pharmacy Tech

First Name: *

MI:

Last Name: *

Your Street Address: *

City: *

ST: *

Zip Code: *

Your Email Address: *

Your Phone Number: *

Create a Password: *

Repeat Password: *

Last 4 digits of Your SSN: *

Your Birth Date (mo/dy/year): *

Are you currently Employed? *

Yes No

Is OASAS your current employer? *

Yes, I am employed by OASAS No, I have another employer

Full Name of Your Current Employer: *

Is your employer approved by OASAS to provide screening, assessment, and treatment services to impaired driving offenders? *

Yes No

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