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Educational Institution Membership

Educational Institution

Any educational institution providing formal education in Health Records/Health Information Management. The educational institution is recognized by the local or national Health Information Management Association and meets any nationally required educational accreditation standards. Dues are $1500 for a three (3) year period.

Step 1 of 2

50%

Educational Institute Name(Required)

Name(Required)

Contact Name of Person from Institute

Title First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone Type(Required)

Phone(Required)

Fax

WHO Region(Required)

Americas

Europe and North Asia

Eastern Mediterranean

Africa

Southeast Asia

Western Pacific

Previous Membership(Required)

Have you previously been an Educational Member of IFHIMA?

Yes

Membership ID

You may have received this information from our organization. New for 2019 we are assigning membership IDs to accounts. If you don't know your ID or this is a new application, please leave blank.

Educational Membership(Required)

Price:

Dues are for a (3) three year period for any educational institution providing formal education in Health Records / Health Information Management.

Total

We will be making membership dues via:(Required)

Please have Membership Chair contact me to discuss alternative payment option.

Bank Transfer

Pay Online (PayPal, Credit Card, Etc.)

Payment Method

MasterCard

Visa

Supported Credit Cards: MasterCard, Visa