CHFC :: Register

California Health Freedom Coalition :: Register

Working to protect freedom of access to alternative health care in California

Thank you for taking the time to register with CHFC. We ask for your address so that we can identify your legislative district. After you complete this form we will send you instructions for downloading the CHFC Compliance Package. Please note: a valid email address is required, otherwise we cannot send you instructions.

Privacy policy
CHFC will never release your personal information to third parties without your consent. We only use it to identify your legislative districts and to contact you as specified.

(Items marked with * are required)

* email

* first name
* last name
* street
street (line 2)
* city
* state
* zip code	-
* country
daytime phone
nighttime phone
fax



	I am a consumer of alternative health services.
	I am a practitioner of alternative health services.
	I am a registered voter.
	Please keep me on your occasional emailing list.