Certified Members Directory Registration Form

Registration Form for Creation of a Member Directory Page

Welcome to the Certified Members Directory of the American Institute of Health Care Professionals, Inc. We are happy that you have decided to create a page in the Directory. When you fill out this form, we will program a directory page for you. It will be your page! You can post your information, include your photo or a photo of your business, or a photo of your choice. You can copy/paste in your Resume!  Just fill in the fields as they are presented. Your profile page will remain in our Directory as long as you main your certification with AIHCP. Please give us up to 5 business days to program your page and for it to appear on our directory.

If you have any questions at all, please do not hesitate to contact us at: info@aihcp.org or at 330-652-7776.

 

 

 

  • Please list the certification(s) you currently have with AIHCP
  • Please type in your full name how you want it shown on your directory listing.
  • Please do not list your street # or name.
  • If you do not wish to publish your E-mail Address type in info@aihcp.org instead.
  • Date Format: MM slash DD slash YYYY
    Please input the date you first became a certified member. If this is your first certification with us then input the date you became certified.
  • Date Format: MM slash DD slash YYYY
    Please input the date of your current certification
  • Date Format: MM slash DD slash YYYY
    Please input the exact date your current certification expires. Normally it is 4 years after your certification date.
  • Please list any other certifications held that are not through AIHCP.
  • Please include any license you currently hold.
  • Please include your personal or business website (Optional)
  • Please include your professional phone number if you wish to be contacted. If not leave blank.
  • Accepted file types: pdf, png, jpg, gif, rtf, txt, doc, docx.
    Please feel free to include your Bio, resume and any professional publications or accomplishments in this area.
  • Accepted file types: png, jpg, gif.
    You can submit a picture for your listing profile if you wish. It is optional if you do not want to have a picture associated with your listing, please leave blank. The max file size is 5 MB.