Audio Conference: Register by Fax/Mail

Medicare Part D Patients -
Intake and Reimbursement Challenges

DOWNLOAD REGISTRATION FORM (PDF file)

Complete this form and fax it to NHIA, (703) 683-1484, with your credit card information.
To pay by check, please mail this form with your payment to:

NHIA c/o Virginia Commerce Bank
PO Box 10819
Chantilly, VA 20153

For more information call our office at 703-549-3740