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Registration Form

(Required)
Enter a user name, usually something like 'jsmith'. No spaces or special characters. User names and passwords are case sensitive, make sure the capslock key is not enabled. This is the name used to log in.
Enter full name, eg. John Smith.
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Enter an email address. This is necessary in case the password is lost. We respect your privacy and will not give the address away to any third parties or expose it anywhere.
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Please enter your AANA Member number
Peer Assistance

Peer Assistance Hotline:
800.654.5167
Peer Assistance Website

Peer Assistance Resources

Jack Stem
State Peer Advisor
AANA Peer Assistance Advisory Committee
(c) 513.833.4584
(h) 513.231.4280
jack@jackstem.com

Gregg Rampleman
State Peer Advisor
AANA Peer Assistance Advisory Committee
513.532.7876
epiduralman@yahoo.com

Suicide Hotline:
800.273.8255