Member Center

Higher Education Network Visit Form

* = required field

Regent name:*
Regent area:
E-mail address:*
Name of RAC member conducting the visit (if visiting on behalf of the Regent):
Name of the health administration program to be visited:*
Date of function:
Estimated no. of students:
  ,

If you do not receive an e-mail confirmation that this information was received by Regional Services, please contact your regional director.

Click the "Submit" button below to send this request
to ACHE's Division of Regional Services.