About the Illinois Telehealth Network

Membership Application

Dear Prospective Member,


Thank you for your interest in becoming a member of the Illinois Telehealth Network! Currently, membership is limited to organizations that provide direct patient care / health-care related services to rural and underserved populations. However, we invite any organization interested in ITN membership to complete an application and it will be reviewed by the ITN Board of Directors for consideration.

Applicant General Information
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
Applicant Primary Contact Information
arrow&v
arrow&v
Applicant Telehealth Status
arrow&v

© 2017-2018 by Illinois Telehealth Network

1215 Franciscan Drive, Litchfield, Illinois 62056

  • ITN Facebook
  • Twitter Social Icon
  • ITN Instagram