NAHC Membership Form

Step 2 – Private Duty Home Care Application

Do you already have a NAHC account, or are you an existing NAHC member? Sign into your NAHC account to use your agency's stored information on this form.
Sign in with your NAHC Account
- - New Member
  - Renewal
- Member ID (if renewing existing membership) - Please use your agency's ID if applicable
- Contact Name for Agency Referrals *
  If you are listed in the NAHC Agency Locator, please use the information on your listing here.
- Email Address for Agency Referrals *
- Primary Contact Name *
- Primary Contact Title *
- Primary Contact Email Address *
- Agency / Organization Name *
- Address *
  Use the location where care is provided. You will be prompted for a billing address at the payment screen
- City *
- State *
- ZIP/Postal Code *
- Telephone Number *
- Fax Number
- Company Web Address

Association dues payments, to NAHC or otherwise, are not tax deductible as charitable contributions, Sections 501[c]5 and [c]6. The Internal Revenue Code limits the amount of business expense deductions for dues paid to an association that engages in lobbying activities even if dues are not used for lobbying; the amount excluded for 2023 is 23% based on IRS criteria.

Need a W9 form? Download it here.

NAHC Membership Application & Renewal

Step 2 – Private Duty Home Care Application

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