Become a Member

Annual membership is for July 1, 2022 - June 30, 2023

  • $250 - Allied Organization/Individual Membership

  • $250 – 1 clinic

  • $300 – 2 clinics

  • $350 – 3 clinics

  • $400 – 4 clinics

  • $450 – 5+ clinics


Please Note: If you plan to submit membership for multiple clinics, the intent of the dues structure is to include only the clinics under the same clinic administrator. This structure is not meant to include all clinics within a regional structure. See the following scenario.

Region X includes 10 clinics within its health system. One clinic administrator is responsible for 3 clinics within that region. Therefore, the membership dues in this instance would be $350 for the 3-clinic rate. In this scenario, Region X is not eligible for membership at the 5+ clinic rate to include all 10 clinics.

If you have questions regarding membership, please contact Deb Kazmerzak at 

If you have questions relating to payment processing, please contact Michael Weeks at 


Total Amount
Payment method *
Credit Card Number*
Expiration Date*
Card (CVV) Code*
Card Holder Name*
Verification code*