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
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Applicant Primary Contact Information
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Applicant Telehealth Status
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