Ivy Tech Community College, Central Indiana
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Application Packet for Health Information Technology

HIT-inquiry form

If you would you like to receive our application packet regarding the Health Information Technology program, please fill out the online form below and hit the submit button. Application Packet includes: Health Information Management Introduction, Health Information Management Professionals Application Packet, Course Descriptions and Advising Sheet

  1. First Name:

  2. Last Name:

  3. Email address:

  4. Address:

  5. City

  6. State

  7. Zip:

  8. Would you prefer to receive the application packet:
    Mail
    Email
    No preference

    9. Form created by Form Forge. Contact bholzing@ivytech.edu for assistance.

Contact:
Brenda M. Holzinger, Chair
(317) 917-7166
bholzinger@ivytech.edu