Become a Member Member Login

Membership Forms

To become a member with ALREC now, download and submit the forms below to info@al-rec.org.  Once these forms are received, an ALREC Trusted Advisor will contact you.

For Eligible Providers, please complete the BAA, MA, and MS1. If you are a hospital requesting membership, please download and complete the BAA, HMA, and MS1.

Business Associate Agreement (BAA)

Uploaded: May 06, 2014 File Type: pdf

The Business Associate Agreement must be signed to become a member with ALREC.

Membership Agreement (MA)

Uploaded: May 06, 2014 File Type: pdf

The Membership Agreement must be signed and a list of providers at the practice included to become a member with ALREC.

Demographics Form (MS1)

Uploaded: May 06, 2014 File Type: pdf

The Demographics forms must be completed to become a member with ALREC. This provides your trusted advisor with a brief overview of your practice environment in order to better serve you.

Hospital Membership Agreement (HMA)

Uploaded: May 06, 2014 File Type: pdf

The Hospital Membership Agreement must be signed to become a member with ALREC for an eligible hospital.