Certification Application
  Specialties PAHCS Offers
  Certification Questions
  Exam Schedule
  Recertification
  Purchase Study Guide
 

Member #:
Membership is required
Click here to become a member now
First Name:
Last Name:
Email:
Send Materials to:
Home Practice
Home Address:
Home City:
Home State:
Home Zip Code:
Home Phone:
Home Fax:
Practice Name
Practice Address:
Practice City:
Practice State:
Practice Zip Code:
Practice Phone:
Practice Fax:
Education Level:
HS Associate Bachelor Masters PhD
Experience (min. 2 years required)
At least 2 years Under 2 years *
Currently Employed as Coder:
Yes No
If Current Employer Less than 2 Years, Enter Previous Employer Contact Information
List Any Memberships to Other Professional Organizations:
List Any Professional Designations:

Professional Reference #1:

Professional Reference #2:
Select Exam Choice:
Exam Location (view schedule):
©2008 PAHCS | The Professional Association of Heatlhcare Coding Specialists