Where

Locations of future events are to be determined

ATAC Membership Application

Please join so we can continue the work we have begun. Members will have access to a special forum on the ATAC website with exclusive updates about Health Net, insurance company reimbursement, claim denials, third party repricing databases, parity violations, and the bills pending in the California legislature. Please visit atac.org for more info

* Required information

CEO/President Information

  • *
  • *
  • *
  • *
  • *
  • *Please note: This is not an event. The fee information below is for a one-year membership with ATAC*

  • Fee

    Type Fee
    $1,000.00

Mailing & Business Information

  • *
  • *
  • *
  • *
  • *
  • *
  • *

Facility Information

  • *

    Level of Care Provided

  • *
  • Please list each facility's name and location. If you do not have more than one location, you may leave the fields blank.

  •  characters remaining

Current Committees Available for Membership

  • Please provide the name, title, email, and phone number of the individual from your organization that you would like to have serve on any of the following committees.

$9,999.99

Payment

Payment Method

Payment Summary


*

I would like to join as an ATAC member. I understand I may be contacted by ATAC with important info.

Register Go back to Event Page