ONLINE APPLICATION

Please complete the form below and click the "submit" button to continue processing your application and fee payment for the Certified Specialist in Healthcare Accreditation (CSHA) program online. This method of applying redirects you to CSHA's marketplace page, where you may pay the application fee by credit card or request to be billed. Please note that candidates will not be able to take the examination for certification until payment of the application fee has been received.

Click here if you would rather by fax or mail (candidates also may call 800/650-6787 for assistance with the application, should they prefer to do so).

Candidate's information:

*Indicates a required field

Name *:

Organization *:

Address 1 *:

Address 2:

City *:

State *:

Zip *:

Email Address *:

Phone *:

Enter Text Below *:

When you click the "submit" button below, you will be redirected to CSHA's marketplace page, where you may pay the application fee by credit card or request to be billed. Please note that members of the Association for Healthcare Accreditation Professionals, will be able to enter their discount source code during the marketplace payment process to receive the discounted application fee of $240. A transaction confirmation will be sent to you from CSHA's parent company, HCPro.