CONTACTING IDHA
FOR MEMBERS AND NON-MEMBERS

If you are an Indiana licensed dental hygienist, please complete this simple online form to contact one of our component leaders or to RSVP for a CEU and/or Component Event.

NOTICE TO MEMBERS:  As you have an email, name and/or address change, please notify all three organizations: IDHA, ADHA and the Indiana Professional Licensing Agency.

By providing and/or keeping your contact information current with IDHA and ADHA, you can be assured of receiving IDHA mailings for CEs, legislative information affecting hygienists, etc.

ADHA MEMBER SERVICES - INDIANA PROFESSIONAL LICENSING AGENCY

Your Name
Member Status (REQUIRED)
Other, please explain:
Your License Number (REQUIRED)

Don't know your license number?  Do an online search now.

Daytime Phone Number ()
Fax Number () (as applicable)
Email Address   (REQUIRED)
Email addresses are vital to our organization. This is the primary way that we communicate with our members. By providing us with a current email address, this allows us to keep members, and sometimes non-members, informed of important announcements and breaking news for our profession and organization.
Mailing Address

City, State, ZIP

 

Please select
a topic:

 


You may select
 more than one topic.

Legislative Issue
Membership Information
RSVP for CEU or Component Event
Annual Session
Presenter for CE’s
NERB Questions
Newsletter Publications
Component Directive
Sponsorships and Marketing
Web Site Questions/Comments
Student Inquiry
ADHA/IDHA Awards

Please select the component from which you want information.
Not sure which component covers your county? Click now. 

(1) Central (8) Hoosier Hills
(2) Ohio Valley (9) Southeastern
(3) Isaac Knapp (10) Western
(4) South Bend (11) Wabash Shores
(5) East Central (12)  Driftwood Valley
(6)  Northwest (13)  Duneland
(7) Elkhart/Goshen (14)  North Central
Briefly tell us this is an update to your contact info or ask your question or provide the event you wish to attend.

Thank you for contacting the IDHA.  We'll be in touch promptly.
 

If you are an IDHA member and you know the person's name you wish to contact, you need to log into the Members Only section and use the Online Directory to use email contact our Officers, Committee Chairs, Trustees or Component Leaders.

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