Illinois Hospital Association

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User Registration:

This form must be completed and approved by IHA in order to view password-protected documents on the IHA site. Access is given to IHA member CEOs, their administrative assistants and hospital staff that the CEO designates. You will receive an e-mail verification when the application has been approved.

1. Please enter your name.

These are required fields.

First Name
Last Name

2. Enter and verify your email address.

These are required fields.

Email
Email Verification

(please enter again for verification)

3. Choose and verify your account password.

These are required fields.

Password
Password Verification

(please enter again for verification)

4. Additional information.

Title
Phone Number
Hospital or Health System Affiliation

5. Choose a user name.

Enter the user name you will use to log in. If you choose a name that is already in use, you will be prompted to choose another. When you've entered your new user name, you may submit your application.

User Name