RGX Staff Call List for Set Medics, CCOs, and COVID Testing

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First Name *

Last Name *

Phone Number *

What city/county do you currently live in? (LA, SD, SF, Orange County, etc.) *

Level of Certification (EMT, RN, MD, etc.) [For those unlicensed folks interested in being a check in a COVID testing assistant, answer this with AS] *

Have you ever volunteered for RGX Medical at festivals before? *

Yes

Were you referred by someone? If yes, who referred you? *

Anything else we should know? (This section is important. Please fill out anything relevant.) *

Submit

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