Fully complete either our Secure On-line Registration Form or our Downloadable PDF Form (one form per registrant, photocopies acceptable). Payment must accompany each form of registration.

Certified Professional in Health Information Technology Curriculum (consists of 10 course, two and one half day curriculum) and CPHIT Certification Examination:

Individual Registration:
• Curriculum Training Only: $1,495
• CPHIT Certification Examination Only: $495
• For Students who have previously taken the CPHIT Exam: $395
• Curriculum Training and CPHIT Certification Examination: $1,695
  • Discounted Rate for those who have completed CPEHR Certification: $1,395
Group Registration for Three or More from Same Institution:
• Curriculum Training Only: $1,295
• CPHIT Certification Examination Only: $495
• For Students who have previously taken the CPHIT Exam: $395
• Curriculum Training and CPHIT Certification Examination: $1,495

Make payment by check (to Health IT Certification), MasterCard, Visa or American Express. A $20 fee will be charged on any returned checks. Groups: Have registration and credit card information for each person. List all group members on FAX cover sheet.

Expenses for training including tuition, travel, lodging and meals, incurred to maintain or improve skills in your profession may be tax deductible. Consult your tax advisor. Federal Tax ID: 20-2142074.

No refunds will be given for "no-shows" or for cancellations for onsite training. You may send a substitute; please call the Health IT Certification office at 1-800-684-4549.

Program subject to change. Executed Registration Form constitutes binding agreement between the parties.

Either enclose payment with your registration and return it to the Health IT Certification office at 3291 West Wilson Road, Pahrump, NV 89048, or fax your credit card payment to 760-418-8084.

Or you may also register online at www.HealthITCertification.com.

• Check/money order enclosed (checks payable to Health IT Certification)
• Payment by credit card: American Express - Visa - MasterCard Credit card number must be given to hold registration. If payment is not received by seven days prior to the Training Seminar, credit card payment will be processed. Credit card charges will be listed on your statement as payment to Healthcare Conference Administrators

Call 1-800-684-4549, send e-mail to registration@HealthITCertification.com, or visit our website at www.HealthITCertification.com.