Follow the steps to complete the form correctly.

1. Click ‘Get Form’ button to acquire the form and access it in the editing interface.
2. Enter your name in the designated field at the top of the form.
3. Input the current date in the specified area.
4. Fill in your job title as it appears on your official documents.
5. Provide the name of your facility.
6. Enter your street address, ensuring it is complete.
7. Fill out the city, state, and zip code corresponding to your address.
8. Include your work number to ensure they can reach you.
9. If applicable, provide your fax number.
10. Input your email address for correspondence.
11. Indicate the acute bed size of your facility in the appropriate section.
12. Check all applicable boxes related to your qualifications and affiliations, including TJC, NCQA, DNV, and more.
13. Answer the membership-related questions regarding NAMSS and CPCS by selecting 'Yes' or 'No'.
14. Make sure to review all the information entered for accuracy.
15. Save your changes, then download, print, or share the completed form as needed.

Complete your IA IAMSS Renewal Membership Form online today to ensure your continued membership.