MMRS Logo

User Information



Please create a 4-digit PIN. This number should be unique to you, and will be required each time you issue a Physician Certification.

Physician - Proof of Identity



Please provide your valid and current Colorado Driver's License or Colorado ID Card information:




Physician - Provider Credentials


DR-

Physician - Business Contact Information





Physician - Confidentiality Agreement






By signing in to this system you are agreeing to follow the stated security policy.
Website usage policy