VCHA, Inc. 2017 Membership Application
Ventura County Homecare Association, Inc.
Due by January 15, 2017

The VCHA purpose is to promote:
• Homecare as an essential component of the health care delivery system.
• An educational/support network for homecare providers.
• Advocacy for patient rights to quality coordinated healthcare.
• Encouragement through collegiate pride as we provide patient care with dignity.

Membership in the VCHA includes individuals or organizations involved in the provision or facilitation of services and/or care to a patient/client in their home setting.

A $25.00 late fee will apply to all applications received after January 15, 2017

Additional charges for guest of member: $30.00/person/meeting.

PLEASE SUBMIT ONE FORM PER MEMBER

Email address *
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