IPS 2026 Regional Integrated Mental Health Conference Registration Form

2026 Regional Integrated Mental Health Conference Registration Form

Registration fee includes:

14.25 CME/CE credits
online access to syllabus
the following meals:
- Friday/Saturday/Sunday breakfast
- Friday/Saturday lunch
- Friday welcome reception
- Saturday dinner party

To get the discounted rate, form and payment must be submitted by 7/31/26.

Cancellations:

A 50% refund will be made on registration only if cancellation notification made in writing and received by event staff by 09/01/26. No refunds or credits after 09/01/26.

Many thanks to sponsors: PRMS, Abbvie, Alkermes, Bristol Myers Squibb, Axsome Pharmaceuticals, Neurocrine Biosciences, Supernus Pharmaceuticals/Biogen, Teva Pharmaceuticals, and CHAMP.

First name

Last name

Email

example@example.com

Cell Phone (WILL NOT BE SHARED)

Please enter a valid phone number.Format: (000) 000-0000.

Credentials

Are you a member of the Indiana Psychiatric Society/American Psychiatric Association?

Payment Method

Discounted Registration Fee - Rates increase 8/1/26

Registration Fee - Rates increased 8/1/26

Please indicate which meal functions you plan to be present for

Meal Preference

Syllabus options

Guest ticket options

Provide guest name

First NameLast Name

Would you like to contribute to resident scholarships?

Contribution Amount

Registration Subtotal

Options Subtotal

Total Due

Paying by Check

Print this form and mail with check (payable to IPS) to:

Indiana Psychiatric Society
Attn: 2026 RIMHC
P.O. Box 30413
Indianapolis, IN 46230

Registration, Syllabus, and Guest Ticket Options

IPS and other APA Early Career Psychiatrist Members

$305.00

IPS and other APA Members

$339.00

IPS and other APA Resident Fellow Members

$75.00

Non-member physicians

$439.00

Non-physicians

$364.00

Medical students (must be full-time)

$105.00

Flash Drive Syllabus

$17.50

Printed Syllabus

$35.00

Adult Guest - Friday welcome reception

$45.00

Adult Guest - Saturday dinner

$84.00

Adult Guest - Friday reception and Saturday dinner

$123.00

Adult Guest Package - (Friday breakfast and reception, Saturday breakfast and lunch, Sunday breakfast)

$284.00 Quantity

Adult Guest Package - (Friday breakfast and reception, Saturday breakfast/lunch/dinner, Sunday breakfast)

$334.00 Quantity

RESIDENT Adult Guest - Friday welcome reception

$38.00 Quantity

RESIDENT Adult Guest - Saturday dinner

$60.00 Quantity

RESIDENT Adult Guest - Friday reception and Saturday dinner

$90.00 Quantity

Contribution to resident scholarship

$50.00 Quantity

Enter coupon

Total

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Provide guest name

First NameLast Name