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HTNA Certification Reviewer Application

Complete this form to apply to be a certification reviewer. A minimum of 5 years of hemostasis/thrombosis experience is required.


When you submit this form, it will not automatically collect your details like name and email address unless you provide it yourself.

Current Primary Role
Registered Nurse (RN)
Advanced Practice Registered Nurse (APRN)
Other
Years of Clinical Experience in Hemostasis/Thrombosis *Minimum of 5 years required*
5-10 years
11+ years
Do you work at an HTC?
Yes
No
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