Personal Information
Personal Information
Fill out the information below, then click Next to continue.
- become a MOSHE member for the same price as nonmember registration by following this link.
- If you have an individual membership, please select "Individual Paid Member" from the dropdown list.
- If you work in a clinic, please select your parent facility from the list.
- If you do not belong to an MHA-member hospital, health system or professional membership group listed in the dropdown, please select "Other".
Please do not abbreviate Job Title and Hospital / Organization Name.
