Enrollment Process

1. Applicant organizations must complete a simple enrollment form. Enrollment can be completed on-line, or an 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. Once your enrollment form has been processed, a simple member's agreement will be sent to you for signature.
2. Enrollment is annually (12 months). The enrollment fee can be paid annually or in quarterly installments. There are a variety of payment options available. On-line enrollment is limited to credit card payment only. Organizations wishing to pay by check or invoiced through a PO number must download and submit the registration 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 enroll on-line, I accept the Terms & Conditions listed below.

Click here to Download Membership Enrollment Form.

Terms & Conditions

1. Enrollment is for a single entity only.
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 constitutes grounds for termination of membership.