IHE International Member Application
* Required
Organization Name
*
Your answer
Organization Address
*
Your answer
Organization Telephone Number
*
Your answer
Organization URL
*
Your answer
Organization Type
*
Health IT and Consulting Company - Small (3 employees or fewer)
Health IT and Consulting Company - Medium (4 to 250 employees)
Health IT and Consulting Company - Large (more than 250 employees)
Government Agency / Nonprofit
Healthcare Provider or Research Organization-Small (fewer than 4,000 employees)
Healthcare Provider or Research Organization-Large (more than 4,000 employees)
Standards Development Organization
Interest Category
*
Developer
User
General
Does this organization have a Parent/Subsidiary or Affiliate relationship with any other IHE Member Organization?
*
Yes
No
If you answered "Yes," please provide the name of IHE Member Organization with which your organization has a Parent/Subsidiary or Affiliate relationship.
Your answer
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