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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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