We now have a “Commit To Purchase” agreement that can be used by organizations to expedite membership to KYACHW for current and new CHW hires. 

THANK YOU FOR SUBMITTING YOUR MEMBERSHIP APPLICATION! Welcome to our secure online processing system.  Select the payment you would like to make below.
Payment Options
You may also mail your check or money order to: KYACHW 750 Morton Blvd. Hazard, KY 41701 * Your membership will not be confirmed until your check is received in our office. *

Commit To Purchase Agreement Form

Once you have downloaded and completed the “Commit To Purchase” form, please email it to our KYACHW Secretary Shirley Prater at sdpr223@uky.edu. 

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