Join the Coalition

To join, you will need to complete both the Membership Form and the MOU.

  • Point of Contact
  • Emergency Point of Contact
  • If you need to add additional contacts, please contact us.
  • This field is for validation purposes and should be left unchanged.
Once you have completed the information above please complete the WATCH Healthcare Coalition Memorandum of Understanding, which you can download here. This form is an editable word document. Please follow the steps below to complete it to finish your membership registration.

  1. Open the document.
  2. Where it says “Type Your Healthcare Organization Name,” delete that text and type in your organization name.
  3. Type in or print (legibly) the name and title of the appropriate decision maker for your organization, i.e. CEO, COO, Regional Director, Director ETC.
  4. Obtain that decision maker’s signature.
  5. Date the signature.
  6. Once the form is completed, please scan and email it to The HCC must maintain a hard copy of this on file for membership verification and federal/state audit purposes.
  7. Your membership application is complete at this point and our email group will be updated from this information to include the most up to date and current membership.