Register - Memberships

WIH Membership starts January of every year, and expires December of that same year.
To ensure your membership application is processed correctly and promptly, complete all applicable sections.
Someone from membership will be in touch with you shortly.

Membership Discounts:

For companies that are a chapter sponsor, please have your sponsorship discount code ready at time of registration. This code was emailed to the members indicated in the sponsorship application.

Students and Young Professionals click here for discount instructions.

Healthcare Professionals click here for discount instructions.

Chapter*
Contact Information
Name*
First Last
Licenses/Professional Certifications
Email*
Work Information
Title*
Organization*
Cell Phone*
Work Phone*
Work Address
Work Address*
Street Address Address Line 2 City State ZIP Code
Background Information
Highest Level of Education*
Years in Healthcare Industry*
Getting Involved
Are you interested in joining a committee?
- Yes
- No
Membership Category
- Associate
- Hospital Employee
- Student/Young Professional
Dues & Notes
Associate Membership Dues are $150. *Members who are employed by a hospital system are eligible for a $50 membership discount. **Student/Young Professional is defined as one who is currently enrolled in and attending an undergraduate or graduate-level course or a professional with no more than three years in the healthcare industry. Students/young professionals are eligible for a $75 discount. ++Membership is restricted to Females in the healthcare industry++

Contact Information

Work Information

Work Address

Background Information

Getting Involved

Dues & Notes