Personal Information
Fill out the information below, then click Next to continue.
- MOSHE Members - Take advantage of the early-bird rate through June 30 and save $10!
- Non-MOSHE Members - register for the conference and receive access to MOSHE events for the remainder of 2026 in addition to the conference registration.
- 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".
Format: 333-333-3333
Please do not abbreviate Job Title and Hospital / Organization Name.
