Welcome to the CAHSAH online membership application. The next several pages
will allow you to apply for membership to CAHSAH by submitting your company
information. You may choose to pay
online with a credit card or check by mail.
If you choose to pay by check, this process will create an invoice
which can be included with your check. If you choose to pay by credit
card, you will be directed to a secure credit card page which will
ask for your credit card information. Thank you for your continued support of CAHSAH.
How many branches / additional licensed locations do you have (if none, please enter 0)?
Has your agency or any other agency with which you have been affiliated ever had their CAHSAH membership or
CAHSAH Home Care Aide Organization Certificate revoked or denied?
If Yes, please explain:
Conditions of Participation