Renew Membership

Please fill in any fields that need to be updated. First Name, Last Name & License number is required.

Title: Dr.Mr.Mrs.Ms.

ASCH Member in 2017?

Please select one of the following:

No, I do not wish to be listed on the CSCH-OD membership directoryYes, I wish to be listed on the internal membership directory

which information do you accept to have listed?

I wish to renew my membership in CSCH-OD for 2018 and and by checking the following box state that the information CSCH-OD has sent me by e-mail or as corrected above is accurate and that I am a member in good standing with my regulatory college.

By clicking next I confirm the accuracy of the information provided.