New Mexico Coalition for Healthcare Value Membership Application

Thank you for your interest in the New Mexico Coalition for Healthcare Value. Please complete the form below regarding your organization’s New Mexico operations. Having a better picture of the characteristics of coalition members gives the Board of Directors and Committees a clearer idea of what would be of most value to members. Once submitted, this application goes before the Board of Directors for approval. Once approved, your organization will be invoiced for dues.

If you wish to fill out a PDF version of our membership application, please click the link below to download the form and email the completed copy to:

Download PDF Version of the Membership Application
  • For Employer Purchasers:

  • This field is for validation purposes and should be left unchanged.

*Note: Membership dues are invoiced annually and are for 12 months. Dues must be paid within one month of being invoiced. No refund of annual dues is available if your organization chooses to leave the Coalition before the 12-month membership period ends.