How to Join

Healthcare providers - How to Join

Please provide the information requested below to learn more about becoming an etHIN Participant.

Schedule a meeting with Kim Dunn, etHIN Provider Outreach, by using the Schedule a Meeting form below.

Name(Required)

Organization(Required)

Title(Required)

Phone(Required)

Email(Required)

Number of Providers in your organization(Required)

Name of your EMR/EHR system(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

What would you like to discuss?(Required)

This field is for validation purposes and should be left unchanged.