Dear fellow colleague,

Please see attached for an application for membership with a description of the classes of members for the Long Island Health Information Management Association. If you are interested in becoming a member, please complete the application form and return it with the following:

1. A photocopy of your American Health Information Management Association and New York Health Information Management cards. (Needed for Active, Associate or Student members).

2. A photocopy of an i.dentification card or badge from your work facility if you are currently employed.

3. A check payable to the Long Island Health Information Management Association for the amount of your dues plus a one time application fee of $10.00.

Please return this form with your check made out to LIHIMA. Please contact Rachel Cloward rlcr55@verizon.net for membership information.

Rachel Cloward
631-368-7612
rlcr55@verizon.net