IAHHC Membership Application

Instructions

Before submitting your application, please note which membership type you are by visiting our membership page here.

If you have questions, please reach out to our Membership Director Leslie at leslie@iahhc.org

Select An Option

This option is for members who are renewing their membership. You will choose which revenue level you are for your dues amount. A home health or hospice (may also offer personal services). These agencies will be operating in Indiana and will (1) supply in-home services to assist individuals with their activities of daily living and/or their health care or hospice needs; or, (2) that provide hospice inpatient services. 

This option is for members who are renewing their membership. You will choose which revenue level you are for your dues amount. A personal service agency that operates in Indiana and will supply in-home services to assist individuals with their activities of daily living and/or their health care or hospice needs.

This option is for new members only! A personal service agency that operates in Indiana and will supply in-home services to assist individuals with their activities of daily living and/or their health care or hospice needs.

This option is for new members only! A home health or hospice (may also offer personal services). These agencies will be operating in Indiana and will (1) supply in-home services to assist individuals with their activities of daily living and/or their health care or hospice needs; or, (2) that provide hospice inpatient services.

An entity that does not supply in-home personnel and does not supply goods or services for compensation to home care agencies, hospices, or their patients, but is interested in home care. This category includes a non-profit association or community organization.

An entity that does not supply in-home personnel and does not supply goods or services for compensation to home care agencies, hospices, or their patients, but is interested in home care. This category includes a non-profit association or community organization.  You may view the benefits for each associate level by reviewing the benefit level chart here.

An entity that does not supply in-home personnel and does not supply goods or services for compensation to home care agencies, hospices, or their patients, but is interested in home care. This category includes a non-profit association or community organization.  You may view the benefits for each associate level by reviewing the benefit level chart here.

An entity that does not supply in-home personnel and does not supply goods or services for compensation to home care agencies, hospices, or their patients, but is interested in home care. This category includes a non-profit association or community organization.  You may view the benefits for each associate level by reviewing the benefit level chart here.

Enter Contact Information
Please select a valid membership option and fee item if exist