ARKHAM - The Arkansas Association of Healthcare Access Management ARKHAM - The Arkansas Association of Healthcare Access Management
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ARKHAM - The Arkansas Association of Healthcare Access Management

Membership Form

ARKHAM MEMBERSHIP DUES
ARKHAM membership dues are $50 annually. Memberships are based on a calendar year January 1 – December 31.

Name:  
Email:
Title:
Facility:
Type of Facility:
(check all that apply)
Hospital Physician Office
Outpatient Clinic Surgery Center
Home Health Recovery Center
Hospice Care Center Skilled Nursing
Specialty:
University Clinics
Rehabilitation Acute Care
Psychiatric Government
Other
Certifications
CHAA CHAM
CPC CPC-H
RHIA RHIT
Other
Facility Bed Size:
Address:
City:
State:
Zip Code:
Office Phone:
Fax: