Membership Application for Associate Members

To be eligible for membership in the National Health Council, all organizations must meet the following criteria:

The organization is national in scope.
The organization has been in operation for more than three years.

Created by and for patient organizations 100 years ago, the National Health Council (NHC) brings diverse organizations together to forge consensus and drive patient-centered health policy. We promote increased access to affordable, high-value, sustainable health care. Made up of more than 150 national health-related organizations and businesses, the NHC’s membership includes Associate Members.

Associate Members are organizations that are considered to be primarily vendors in health-related areas. Associate Members have access to all member privileges, however they are not represented on the NHC’s Board of Directors or Nominating Committee. Associate members are also ineligible to vote at meetings of the entire membership.

Please tell us more about your organization so we can work together to put patients first:

All fields marked with * are required. The application will not submit if a response is not indicated.

Organization Name*:

Year Organization Was Founded: (Organizations must have been in operation for more than three years to be eligible for NHC membership) *required

Address*:

Website*:

Telephone Number*:

Applicant Name*:

Job Title*:

Applicant Email*:

Applicant Telephone Number*:

Primary NHC Point of Contact Name/Job Title (if different than applicant):

Primary NHC Point of Contact Email*:

Primary NHC Point of Contact Telephone Number*:

Point of Contact Assistant (if applicable):

Point of Contact Assistant Email:

Point of Contact Assistant Telephone Number:

Reason for Joining:

Organization Mission*:

Disease/Disease category focus*:

Organization Summary of Work (product pipeline)*: