Wisconsin Association for Healthcare Quality    

Request a Change to Your Profile's Email Address

If you do not have access to the email account on file (for example, if you changed jobs), use the following form to request a change to your email.  After we review your request and make the change, a confirmation notice will be sent to the new email address.  This process could take a day or two.

All fields are required

Old Email
enter 'unknown' if you do not know

New Email

Your Name

Phone (in case we need to contact you about the change)

Reason for change

If you have any questions or issues with the form, please contact Rich Chapman at webmaster@wahq.org.