Provider Availability Update

If you are an active Registry Provider, please read the directions below and complete the form requested.

In order to remain on the Registry, it is a monthly requirement and your responsibility to update your availability and any information that may have changed.

  • If your last name begins with the letter: A-M, you must update your availability between the 1st and the 15th of each month.
  • If your last name begins with the letter: N-Z, you must update your availability between the 16th-31st of each month.

Note: You must be an active Registry Provider to submit this information. Completed updates will be posted in our computer system within five (3) business days.

***If you would like to be added to the Registry or to find out if you are an active Provider on the Registry, please call 866-351-7722.

Please submit the online form below OR click here to print out and mail the availability form.