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  1828 L Street, NW
  Suite 801   Washington, DC 20036
  (P) 202.332.2275
  (F) 202.332.2949

About NCCNHR Membership

Membership

NCCNHR MEMBERSHIP APPLICATION

Send or fax completed form to NCCNHR, 1828 L Street, NW, Suite 801, Washington, D.C.  20036 or fax. 202-332-2949.

NCCNHR: The National Consumer Voice for Quality Long-Term Care is a non-profit advocacy

organization dedicated to improving the quality of life and care for all

persons in long-term care facilities and those receiving long-term care

in the community setting.

 

We are consumers and advocates who define and achieve quality for people with long-term care needs. We accomplish quality through:

·         informed, empowered consumers;

·         effective citizen groups and ombudsman programs;

·         promoting best practices in care delivery;

·         public policy responsive to consumer needs; and

·         enforcement of standards that promote quality.

 

You can help NCCNHR help residents.  Use the form below to join as a group

or individual, or to subscribe to our newsletter, the Quality Care Advocate. 

With annual membership, you receive:

  •   A free one-year subscription to NCCNHR's newsletter, the Quality Care Advocate

  •   A 10% discount on NCCNHR publications

  •   Advance notice and discount registration for NCCNHR Annual Meetings

  •   The knowledge that you have strengthened the consumer voice on  Capitol Hill

  •   Consumer-controlled Group Members have voting rights in NCCNHR elections


    Please Circle Type of Membership

     

Individual Memberships  

 Resident  ............................................. $  2

Students/Nursing Assistants .................  $10

Age 65 and over .................................  $25

Other Individuals.................................. $40

Licensed Professional........................... $65

NALLTCO/NCCNHR Joint Membership........... $50

 

Tax-Deductible Donations   $_____________

Donation in memory of / in honor of: (circle one)

______________________________________

 

 

Group Memberships

 Resident Councils...................................... $   5

Family Councils......................................... $  35

Budget under $25,000 .............................. $  45

Budget $25,001 - $75,000 ....................... $  75

Budget $75,001 - $150,000 ..................... $145

Budget $150,001 - $500,000 ................... $200

Budget $500,001 - $2 million.................... $350

Budget over $2 million .............................. $500

 

 

 

Name:                                                             

 

Title:     _________________________________

 

Organization: ____________________________

 

Street Address: ________________________

 

City/State/Zip:   ________________________

 

Phone: ( _______) - _____________________

 

Fax: (            ) - ________________________

 

Email Address: _____________________________

 

Total Amount to be Paid: ______________________

 

Payment Method: (check one)

 

o Check/Money Order

o Visa

o MasterCard

o Amex

Acct. #: ____________________Exp: _________

 

Cardholder's name: ________________________

                                    (please print)

Cardholder's Signature: _______________________

 

 

NCCNHR is a nonprofit membership organization founded in 1975 by

Elma L. Holder to protect the rights, safety, and dignity

of America’s long-term care residents.




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