Personal Information

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  • 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.

Hospital / Organization Information