HCIN SECURE STREAMING STORE - ORDER FORM PROCESS [FAX & MAIL]

ORDER using an ORDER FORM

Those who prefer an alternative to online ordering can use an order form.

Order Form - FAX with Payment by Credit Card - Complete the appropriate order form with your credit card payment information and fax it to the number shown on the form. If you don't want to include your credit card information on your fax order please fax your order form first then call us to provide your credit card information. Following our receipt of your order and payment we will send you an email with an attached sales receipt for your records.

Order Form - MAIL with Payment by Check - Complete the appropriate order form and mail it along with your check to HCIN at the address shown on the order form. Make checks payable to Home Care Information Network. Following our receipt of your order and payment we will send you an email with an attached sales receipt for your records.

Order Form - Request for Invoice in Advance of Payment by Check - For those who require an invoice prior to payment by check, please contact us by phone or complete the appropriate order form and fax it to HCIN. Following our receipt of your order we will send you an email with an attached invoice. Mail a copy of your invoice along with your check to HCIN at the address shown on the invoice. Make checks payable to Home Care Information Network.

Order Forms for Texas HCSSA Administrator & Alternate Administrator Educational Training

Texas HCSSA Initial Training Packages ORDER FORM

Texas HCSSA Master Program List ORDER FORM

Find Order Forms for AGENCY SUBSCRIPTIONS attached to each program description.

 

PROGRAM SUBSCRIPTIONS ARE NOT ACTIVATED UNTIL PAYMENT IS RECEIVED.