Membership Application
July 1, 2011 - June 30, 2012
If you are an existing member and you have an email or mailing address update, please email us.
*required information
*Member Type
Active ($15) Honorary Member (no charge) Student ($10)
Active: Any health information management professional holding a valid AHIMA credential; offers full voting privileges, may hold any office. Student: Any student formally enrolled full-time in an AHIMA accredited or approved program, including those pending accreditation/approval, no voting privileges, may not hold office or committee appointment. Honorary: If you are an Honorary member of AHIMA you qualify for this membership to NEPHIMA at no membership fee. You must submit a copy of your AHIMA Honorary documentation.
Active: Any health information management professional holding a valid AHIMA credential; offers full voting privileges, may hold any office.
Student: Any student formally enrolled full-time in an AHIMA accredited or approved program, including those pending accreditation/approval, no voting privileges, may not hold office or committee appointment.
Honorary: If you are an Honorary member of AHIMA you qualify for this membership to NEPHIMA at no membership fee. You must submit a copy of your AHIMA Honorary documentation.
I hereby request consideration for membership/renewal in the Northeast Pennsylvania Health Information Management Association.
I have reviewed and acknowledge acceptance of the terms and conditions which includes the refund policy, insufficient check funds policy, and the credit card terms and conditions.
* Select One Yes, I agree to the terms and conditions
Payment options include: Credit card and check
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