Provider Membership Renewal

Renew your membership to continue accessing essential resources, education, and advocacy opportunities in palliative care. Complete the renewal form to maintain your connection to a community dedicated to improving care for patients and families.

Renew your dues by completing the form below:

Name of Organization(Required)

Name(Required)

First Last

Email(Required)

Phone(Required)

Member Dues

CURRENT Provider Member Dues (Required)

Please enter the number of Admissions/Readmissions as the quantity.
$7.50 per admission for previous year. Dues period is from January 1st through December 31st. IL HPCO is basing dues on previous year admissions, unless your admissions have declined, then we honor a lower rate for dues billing.

Price: $7.50

Hidden Flat Rate

Please consider an additional contribution to support the work of IL-HPCO, a 501c (3) organization.

Total Amount to be Billed

Credit Card