Online Registration

You will need to complete the following forms and attach the appropriate documents as listed below to complete the online process and to be considered for membership at BCHS.

  • Two pieces of ID (1 primary government issued ID and one secondary ID).
  • Passport size photo.
  • Complete the online membership application form below.
  • Completed copy of the Practitioner’s recommendation form.
  • Completed release of information form.
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    All forms are in Adobe PDF format. If you need Adobe Reader, you can download and install it here: www.Adobe.com

    Form1 – Release Of Information
    Form2 – Practitioner Form

    Fields marked with a * are required.

    If you are not able to fill out the online form or attach your documents, you can mail your information in. Call us for more info.

    Online Registration

    • BY SIGNING BELOW YOU DECLARE THAT THE INFORMATION YOU HAVE PROVIDED ON THIS FORM IS FACTUAL:*