To register, go to our ONLINE REGISTRATION FORM.


To register using our ONLINE REGISTRATION FORM, please click the red box below.

You may also print or download a PDF copy of the registration form. Please type or print your information
on the form clearly and email it back to [email protected] or fax to (601) 368-3200, ATTN: Valarie. 

For more information, contact Valarie Jackson at 601-368-3219.

Mississippi Hospital Association encourages a SMOKE and FRAGRANCE FREE
training environment for the health of our guests.

This training is funded through an Assistant Secretary for Preparedness and Response (ASPR) grant CFDA#93.074  
to the Mississippi State Department of Health (MSDH) in collaboration with the Mississippi Hospital 
Association—Health, Education, and Research Foundation.