Registration Process

Registering your account will soon allow you to log in to our application where you can manage forms for our future visit to your department. Please take the time to ensure all information is filled out correctly as it will be used when printing out your submitted forms.

When you have completed your registration one of our staff members will review it. Once approved you will be sent an email confirming your approval and will then be able to log in.

Registration Form


Describe which department or station you are employed with.

If you have an employee ID or Badge number, enter it here.

First / Middle / Last
Please ensure you select the correct year.

Need Help?

Our staff is here to help you with any questions that may arise while registering. If you need assistance please call or email us.

1-877-633-3926
contact@nassaudiagnostics.com