Join as a Facility

Your name *

Your email address *

Organization name *

Address *

City *

State *

Zip code *

Phone number *

Website *

Public / general email address *

License Number

Owner *

Administrator *

Director of Nursing *

Type of Facility *

Nursing Home

Assisted Living Facility

Number of Beds *

Used to calculate annual fee - $73.60 per bed, per year

Number of Beds *

Used to calculate annual fee - $32.50 per bed, per year

Fee *

Terms of Service

I agree to comply with all rules and standards established by and for the members of the Utah Health Care Association (UHCA).
I agree to reimburse UHCA for all dues and fees owed by my organization per the payment schedule outlined in the UHCA by laws.
If, in the event, that my organization terminates membership in the UHCA, payment in full will be made for all dues and services rendered up to, and including the date that the written letter of notification is received by UHCA.

I agree with the statements above.

Join UHCA