First Nation Behavioral Health Association

MISSION

SPECIAL ANNOUNCEMENTS

BOARD MEMBERS

MEMBER APPLICATION

FNBHA Member Benefits :

• Eligible for consultant pool!
• Family/professional list serve!
• Communication w/other AI/AN professionals!
• Updates on federal initiatives which impact services in Indian Country!
• Conduit for your voice to be heard at a national level!

After filling out the online form, you can send a check to:
First Nations Behavioral Health Association
Box 55127
Portland, OR 97238

If not, you may skip the online registration and print out a printable version and send it in to the address on the bottom of the printable version.

FNBHA Membership Application (* = required field)
Type of Membership*	Individual/Consumer/Family - $5.00 Provider - $50.00 Organizational - $250.00 Tribal - $250.00
Name*
Address*
Home Phone*
Work Phone
E-Mail Address*
Enrolled Tribal membership & decendent of enrolled tribal member (list Tribe(s))*
Personal/Professional interest in joining