Name Change Request Form

Submit this completed form and the required documentation. Forms without appropriate documentation included will not be processed. Please allow up to four to five business days for the change to be processed.

    NAME ON ACCOUNT

    CHANGE NAME TO

    SUPPORTING DOCUMENTATION

    I agree

    This commitment to advancing Sterile Processing (SP) knowledge, skill sets and professionalism is why over 40,000 members and certification holders rely on HSPA to keep them sharp, focused and abreast of the very latest standards, best practices and technological advancements impacting the SP profession.