Initiatives
What’s New
Membership
Industry Events
Resources
Foundation
About Us
Site Map
Contact Us
Home
 Strategic National Implementation  Process (SNIP)
 National Provider Identifier Outreach Initiative (NPIOI)
 WEDI Regional Affiliates (WRA)
 WEDI Collaborations
 Policy and Advisory Groups(PAGS)
 NCHICA/WEDI Timeline Initiative
 Health ID Card Implementation Guide
 Clinical and EHR
 Health Savings Accounts / High Deductible Health Plans
 WEDI News and Events
 Overview
 Join & Membership Forms
 WEDI Member Newsletters
 Committees
 Policy Advisory Groups  (PAGs)
 List Serves and Forums
 Industry Events Calendar
 WEDI Comments
 WEDI Bulletins
 WEDI Member Newsletters
 WEDI Policy Advisory Groups
 Presentations
 White Papers
 Clinical IT Resources
 HIPAA Resources
 WEDI Listservs
 WEDI Listserv Archives
 Mission and Purpose
 WEDI Vision, Mission and  Guiding Principles
 Membership Information
 Join WEDI
 Board of Directors
 Committees
 WEDI Policy Advisory Groups  (PAG)
 Staff
 WEDI Member Directory
 WEDI Bylaws
 Board of Directors Members- Only Section
 

Strategic National Implementation Process (SNIP)

National Provider Identifier Outreach Initiative (NPIOI)

WEDI Regional Affiliates

Policy and Advisory Groups

NCHICA/WEDI Timeline Initiative

Health ID Card Implementation Guide

Clinical and Electronic Health Record Initiatives

Health Savings Accounts / High Deductible Health Plans

Health IT Certification

 
 

Search WEDI for:

  

 
WEDI Membership Application

WEDI Membership Application

Thank you for your interest in joining WEDI. Please complete the following secure application for membership eligibility and processing.

If you pay by credit card, your application will be activated within 2 business days. If you pay by check, your application will be activated as soon as payment is received and processed. In either case, you will receive an e-mail with your member log-in and password when your membership is activited.

Please fill out the form below. All fields marked with * are required.

First:* Last:*
Title:*
Company Name:*
If you do not have a company name, please enter "none".
Address 1:*
Address 2:
City:*
State/Province:*
Zip Code/Postal Code:*
Country:*
Phone Number:* Ext: Fax Number:

Exp: 703-555-5555
E-mail:*
 
Membership Category*
Please Note:
Membership Fee is determined by the category your organization falls into.
Your Membership Fee is:
Industry Classification*
Please select all that apply. In order to select more than one classification, hold the Ctrl button while making selections.
Payment Information
Payment Type:*
Name on Card:
Card Number:
Expiration Date:

(Format: 05/04)
 
If paying by check, please print out this page and mail to:    Lisa Berretta
WEDI
12020 Sunrise Valley Dr., Suite 100
Reston, VA 20191
 
Some links are to pdf format files and require Adobe® Acrobat® Reader to view.
 
  Email This PagePrint This PageGo Top
Workgroup for Electronic Data Interchange  |  Webmaster  |  Disclaimer   |   Site Help