Certified Natural Health Professionals

Curriculum · Faculty · Seminars · Capstones · Registration · Graduates · Chapters · Nursing CEs

Join a Chapter

Please complete this form to join a local CNHP chapter. If you have any questions regarding this form, please send them to information@cnhp.org.

Items in bold are required

Name:

Address:

City:

State:

Zip Code:

Day Phone:

Ext.:

Evening Phone:

Ext.:

Fax Number:

Email Address:

Best Time to Reach You:

Date of Birth (MM/DD/YY):

Gender:

Male

Female

Highest Level of Formal
Education Completed:

What is your Current Occupation:

What involvement do you have
in the Natural Health field:

Check any degrees and
designations you have received:

If Other is marked, please provide
them in the appropriate blank.

Which brand(s) of nutritional products
do you prefer or distribute(if any):

Which of the basic 5 seminars
have you completed:

Nutrition
Body Systems
Iridology
Body Work
Practicum

Chapter Information

Select the desired city:

If your desired city is not listed,
enter it here:

Other

How did you find out about
your local chapter:

What would you like to see accomplished
with the Local Chapter:

Would you consider being an
officer for the Local Chapter:

Please add any additional
comments or questions here:

The National Association of Certified Natural Health Professionals
710 East Winona Ave. Warsaw, IN 46580
Phone: 1-800-321-1005 Fax: 574-267-7006