Membership Application for Nonprofit Organizations with an Interest in Health

Membership Application for Nonprofit Organizations with an Interest In Health

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 core membership includes Nonprofit Organizations with an Interest in Health.

Nonprofit Organizations with an Interest in Health are organizations engaged in or concerned with health issues that support the mission of the National Health Council.

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*:

Chief Executive Officer/Executive Director Name/Job Title*:

CEO/ED Email*:

CEO/ED Telephone Number*:

CEO/ED Assistant Name/Job Title (if applicable):

CEO/ED Assistant Email:

CEO/ED Assistant Telephone Number:

Chief Financial Lead Name/Job Title:

Chief Financial Lead Email:

Chief Financial Lead 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:

Organization Mission*:

Organization Summary of Work*:

Reason for Joining*:

In order to complete the application review process, certain documents are required as part of the initial process - Annual Report, Articles of Incorporation, Audited Financial Statements, Bylaws. NHC membership staff will reach out to you once your application has been received to gather these materials.