All CHM forms are Adobe PDF files. Free Adobe Reader software is required to view and print PDF files. To receive a form by mail, please contact us at the phone number or address printed on the form. If you have trouble downloading a form, contact our Member Assistance department at 1-800-791-6225, ext. 5993.
I want to…
Apply for membership
Apply for Brother’s Keeper membership
Make my monthly financial gifts through automatic bank account withdrawal
Change my automatic bank account withdrawal information
Contact Dr. Jacobson, CHM medical consultant (Click here to find Dr. Jacobson’s articles relating to your question or condition.)
Update my CHM member account information (address change, participation change, etc.)
Submit medical bills for sharing among CHM members
Submit maternity bills for sharing among CHM members
Make a donation report since I am listed on the CHM Prayer Page (This form must be received by the CHM office each month by the 15th (or the first business day after the 15th) of the following month.)
What people say about CHM
The check from Christian Healthcare Ministries arrived the week before our third son’s birth and was a great encouragement to us. It reminded us that the Lord was providing for all of our needs. It is a blessing to be a part of this ministry and know that our monthly gifts go to help other believers in Christ. -David & Shari Boshart, Durham, NC; $6,677 need met