CCHF Conference Registration


2017 CCHF Conference Registration

May 18-20, 2017 in Cincinnati, OH



Who should fill out this form?

Every conference attendee (including students requesting scholarships, workshop presenters and exhibitors)


ALL registration types include lunch on Friday and Saturday, and the Ice Cream Social on Thursday night. 


Registration Fees:

  • General Registration - $279
  • Partner Clinic Registration - $249 (Employees/Guests/Associates of CCHF Partner Clinics)
  • Spouse/Student (non-volunteer) Registration - $225
  • Student Volunteer Registration - $45 (Student Serves 6-7 Volunteer Hours During Conference)
  • Day Rate - $100
  • Medical (AMA PRA) or Dental (PACE AGD) continuing education credit - $80 (Can be Added to any Registration Type)








(MD,RN,PhD,BSW,etc.)































If yes, your organization will be billed for your fees.
Student Information
Students/Residents, please provide your permanent address (Not your dorm or university PO Box)








If you are requesting a scholarship (and are approved) you will qualify for a reduced registration fee of $45 (Regular student rate is $225). (Scholarship recipients will be expected to volunteer for up to 7 hours during the conference.








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List a basic summary of your travel expenses: gas, meals, airfare. (Do not include hotel expense).
List number of nights you will need a hotel room. The conference begins on Thursday at 1pm and ends on Saturday at 2:30pm. CCHF will handle your hotel arrangements once your scholarship request is approved.

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If you have other costs please explain them here.

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Scholarships are generously funded by CCHF members and member organizations that recognize the value of investing in young health professionals like you. Scholarship awards are intended to remove financial hurdles by covering travel expenses. Travel expense checks will be available when you arrive at the conference. 






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