CHIA Education Order Form
Provide all information requested below for each employee. Each person must use their individual CHIA profile in order to access the program and CEUs. If an employee does not currently have a CHIA user profile the CHIA staff will inform the group contact person with the employee names and request that they create a profile in order to complete the order.
Please only use this form if you are registering a group or paying with a check / check request / purchase order. If you are registering yourself with a credit card payment please login to your CHIA profile.
Member pricing is subject to CHIA verification, once pricing is verified an invoice will be emailed to the group contact person.