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2011 Provider Membership Renewal Application California Association for Health Services at Home 3780 Rosin Court, Ste. 190, Sacramento, CA 95834 Phone: (916) 6415795 Fax: (916) 6415881 www.CAHSAH.org
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How to fill out 2011 provider membership renewal:

01
Begin by reviewing the instructions provided with the renewal form. This will ensure that you have a clear understanding of the process and any specific requirements.
02
Gather all necessary documents and information that you will need to complete the renewal form. This may include your identification details, certification or license information, and any supporting documents or references.
03
Double-check that all the information you provide is accurate and up-to-date. Any errors or missing information could cause delays in your renewal process.
04
Complete each section of the renewal form thoroughly and legibly. Use black ink and write or type in clear, concise language. If there are any sections that do not apply to you, mark them as "N/A" or "not applicable."
05
If required, provide any additional documentation or attachments requested in the renewal form. Make sure to include all necessary supporting documents such as proof of professional development or continuing education credits, if applicable.
06
Review your completed renewal form to ensure that all fields have been filled out correctly and that you have not missed anything. It may be helpful to have someone else double-check your form before submitting it.
07
Sign and date the renewal form as required. This verifies that the information provided is true and accurate to the best of your knowledge.
08
Make a copy of the completed form and any supporting documents for your records before submitting it. This will serve as proof of your submission and can be useful in case of any future inquiries or audits.
09
Submit the completed renewal form and any required fees or payments by the specified deadline. Follow the instructions provided on how to submit your renewal form, whether it is by mail, online, or in person.
10
Keep a record of the submission confirmation or receipt as proof of your renewal. This will be important should you need to demonstrate that you have successfully completed the renewal process.

Who needs 2011 provider membership renewal?

01
Providers who were registered in 2011 and wish to continue their membership.
02
Providers who want to have access to the benefits and resources provided to members.
03
Providers who intend to participate in any activities or programs offered exclusively to members.
04
Providers who rely on the network and support system available through the membership for professional development and networking opportunities.
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