Because Health Care is a Right, Not a Privilege

Joining Hands. Healing Lives.

HCH Clinicians' Network Membership Application
Membership is open to front-line providers or anyone giving hands-on care to homeless people: Nurses, social workers, substance abuse counselors, mental health therapists, dentists, outreach workers, physician assistants, nurse practitioners, case managers, pharmacists, psychologists, and physicians as well as students in these professions. Membership is nontransferable and dues are nonrefundable. Memberships run from annual meeting to annual meeting, and dues paid before December 31 are effective through June of the following year.

TO JOIN OR RENEW
  • Complete the application below then hit the Submit button to pay by credit card OR
  • Complete and print the application, mailing it along with your check to Membership Department, HCH Clinicians' Network, P. O. Box 60427, Nashville, TN 37206-0427.

PLEASE PROVIDE THE FOLLOWING INFORMATION