Submit a Find a Provider Entry

Use this form to submit a new listings only for CHHSM's Find a Provider network. Listings should reflect the community of a CHHSM member ministry in good standing. Future updates to this listing will be made through CHHSM's annual membership update process.

  • Community Profile

  • The following fields will appear on the organization's Find a Provider profile on the CHHSM website.

  • In-Kind and Financial Gifts

  • Communities may list up to 5 wish list items (e.g., in-kind donations) as well as email addresses where in-kind and financial gift inquiries may be directed. This information will be displayed on the organization's Find a Provider listing.

  • Contact Information

  • Complete the following fields as a representative of the organization completing this form.
  • This field is for validation purposes and should be left unchanged.