This form is to get you a login to the NBHAP website.

Please use the same email that you received the notification on. You will need to be logged out when using this form. If registering more than one person, you will need to clear your computer cache to use the form a second time.

This is a free service and no payment information required. However, you will receive an invoice for $0 via email. That can be deleted. You will also receive a second email with login information. Please whitelist @bhap.us in order to ensure you receive all our communications.

The starred items are required. If you have any questions or concerns, please contact us.