CHPS Online Membership Form

Thank you for your interest in becoming a member of CHPS! The CHPS online membership form is currently under maintenance. If you are interested in becoming a member of CHPS, please download and complete a member application and return it to CHPS. If you have any questions regarding membership or the CHPS program, please don't hesitate to contact us at 415-957-9888 or info@chps.net.

Completed membership forms can be faxed to 415-957-1381 or mailed to CHPS, Inc., 142 Minna St., Second Floor, San Francisco, CA 94105.