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Request for Duplicate CHFP or FHFMA Certificate

Upon confirming the designation was earned and it is still valid, HFMA will begin processing of the duplicate certificate. The date of the designation on the certificate will be the date it was earned. Because three persons sign the certificate personally, processing of the certificate takes 60-90 days. The duplicate certificate will be mailed directly to the candidate.

Fields preceded by an asterisk (*) are required. Applications missing this information will not be processed.

Contact Information:
*First Name:   
*Last Name:   
HFMA Member ID:   
Title:  
Organization:  
* Street Address Line 1:  
Street Address Line 2:  
* City:  
* State:  
* Zip:  
Country:  
Phone #:    - -    ext.
Cell Phone #:   
Fax
*E-mail
Application Date:
 

Certification Status

 

Duplicate certificate for: ($25 each)

 

CHFP - Accounting and Finance Specialty

CHFP - Patient Financial Services Specialty

CHFP - Financial Management of Physician Practices Specialty

CHFP - Managed Care Specialty

FHFMA

 

 

 

Charge Payment Information

 

Please add up costs above and enter the total here $
At this time, credit card remittance is not available. You will receive an invoice within the next 3 business days for your purchase or if you prefer to provide a credit card, please contact the HFMA Member Service Center at 800/252-4362 extension 2 during regular business hours.

Thank You!

Check Payment Information

If you need a printed version of this application, print from this screen
and send personal or company check to:

HFMA
Attn: Accounting Department
Two Westbrook Corporate Center
Suite 700
Westchester, IL 60154

By fax with credit card info to: (708) 531-0665