1. A formal contract is not required. Applicant organizations must complete a simple enrollment form. The enrollment form can be downloaded and faxed or mailed to our office. Enrollment can also be done over the phone by calling 866-324-5080, Monday through Friday, 9AM – 5PM PT.
   
   
2. There are a variety of payment options available. Payment can be made in full, invoiced quarterly, or billed with a purchase order (PO) number. If billing with a PO number, the number must be on the enrollment form.
   
   
3. Your organization must designate a contact person at the time of enrollment. This individual will receive a thorough orientation to member services, and how to access these services.
   

Click here to download enrollment form.

Terms & Conditions

1. Enrollment is for a single entity only. Services provided address CMS acute care certification, and all Joint Commission accredited programs under that entity.
   
   
2. Enrollment cannot be transferred to, or used by, another entity.
   
   
3. For health systems, enrollment must be for each entity in the system and cannot be used for the system as a whole. Please contact CIHQ for enrollment fees for multiple entities.
   
   
4. Enrollment is annually (12 months) and the enrollment fee is non-refundable.
   
   
5. Late payment is subject to additional fees and CIHQ reserves the right to suspend or cancel membership until fees are paid in full.
   
   
6. Member organizations agree that the dissemination of materials and resources provided by CIHQ to non-member entities is strictly forbidden and grounds for termination of membership.