NYSAM 2026 Attendee Registration Form

NYSAM 2026 Annual Conference Registration

March 6-7, 2026 | NY Marriott Downtown | Early Bird Registration Deadline: January 6, 2026
Full Name*

First NameLast Name
Professional Title*
Institutional/Organizational Affiliation*
Clinical Degrees/Credentials*

Attending PhysicianResident or Fellow PhysicianPhysician AssistantNurse PractitionerRegistered NursePsychologistSocial WorkerSubstance Use CounselorMental Health CounselorPeer Recovery AdvocateHealth Professional StudentNon-Clinician Researcher or AdministratorOther
E-mail*
example@example.com
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please list if you have any dietary restrictions*
Payments are processed through PayPal. You may pay using an existing PayPal account, or any major credit card / debit card.
Select Your Registration Rate - Take advantage of the $25 Early Bird Discount - Register Before January 6, 2026!

Please note: NYSAM membership will be verified after registration. Learn more about becoming a member of NYSAM here: https://nysam-asam.org/nysam-asam-membership/

My Products

Full Conference (NYSAM Member/Associate Member)Early Bird Rate (register before 1/6/26)

$370.00

Full Conference (Non-Member)Early Bird Rate (register before 1/6/26)

$470.00

Full Conference (Resident/Fellow/Medical Student)Early Bird Rate (register before 1/6/26)

$70.00

Full Conference (Health Professional Student)

$ Free

Enter coupon

Total

$0.00

NYSAM 2026 Annual Conference Registration