Health Services Association
California Community Colleges
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1. Complete a copy of the Membership Application in either of the two formats:
Print a copy of the Membership Packet and fill in the information requested.
Secured Membership Application. The password is hsaccc (Make sure you print a copy before you close the form.)
2. Payment by either:
Check
PayPal. Select membership type. When you click Buy Now, you will be directed to PayPal's secure website. After you complete your transaction, print a copy of your PayPal receipt.
PayPal
Membership Type
Regular Membership $155.00 Associate Membership $52.00
3. Send your membership application and check or PayPal receipt to:
Alfred E. Forrest, MD, HSACCC Treasurer
Student Health Services
Rio Hondo College
3600 Workman Mill Road
Whittier, CA 90601-16916
E-mail questions to: