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About PHIMA - Membership Update

If you would like to make some changes to your contact information, please do so below:

Demographic Information

*AHIMA ID:

*First Name:

*Last Name:

Credentials:

Title:

Organization:

Preferred Address:

Address (cont'd):

City:

State:

Zip Code:

Home Phone:

Work Phone:

Ext.

Fax:

E-mail:

 

PHIMA Regional Association

I am a member of one of the following regional association:

 

I would like to become a member of:

General Questions

Would you like to serve on a PHIMA committee/office?  

Yes
No

Would you like your PHIMA member information published in our PHIMA Membership Directory?  

Yes
No

Do you wish to have your name provided for outside mailing lists (e.g. vendors, recruiters)?  

Yes
No

Questions/Comments

Please enter any questions or comments that you may have for PHIMA.

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