• American Society for Medical Advancement Membership Application

    Complete your membership details and choose volunteer interests, then use the payment link to submit.
  • Format: (000) 000-0000.
  • Would you like to serve as a volunteer?*
  • Have you ever been convicted of a felony or misdemeanor?*
  • Have you ever had Medicare/Medicaid participation restricted, suspended, or revoked?*
  • Are you currently under investigation by any licensing or regulatory body?*
  • *If yes, what Area Would you like to serve as a volunteer in any of the following areas?
  • I attest that all information provided in this application is true, accurate, and complete to the best of my knowledge. I agree to abide by the organization's bylaws and code of ethics as a condition of membership. I further consent to the verification of my credentials and background as part of the application review process. By signing below, I acknowledge and accept these terms.

  • Membership Levels

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                        Active Physician  Physician Association Membership

                        Full voting membership with complete access to the organization. Includes voting rights on association business and elected leadership, eligibility to hold office or serve on committees, full CME/education programming discounted, all networking and social events, advocacy representation on state and local health policy issues, member newsletter and communications, and any group-rate benefits (insurance, practice resources, etc.) the organization negotiates on members' behalf  ANNUAL MEMBERSHIP  $425.00. REBATE OF 25%  UNTIL SEPTEMBER 30, 2026 FOR ACTIVE PHYSICIANS ONLY.

                        $243.75$243.75
                          
                        New in Practice Physician Association Membership

                        A phased-in rate for physicians in their first three years of independent practice. Full active member benefits and voting rights from day one — this is a discount to ease the transition out of training, not a reduced membership tier. Dues step up automatically each year until reaching full active rate in Year 4.

                        $110.00$110.00
                          
                        Resident/Fellow 

                        For physicians currently in an accredited residency or fellowship program. Includes CME and educational programming, mentorship and networking access with practicing physicians, career-transition resources, and a voice in the organization (may carry limited voting rights, depending on your bylaws) — all at a nominal cost while you're in training.

                        $25.00$25.00
                          
                        Medical Student

                        Open to all students enrolled in an accredited medical program. Includes access to events, mentorship connections with physicians and residents, and early exposure to organized medicine — no cost, because we want to build your relationship with the profession early.

                        Free$ Free
                          
                        Retired (5–24 years of membership)

                        For members who are fully retired from active practice. Keeps you connected to colleagues, continuing education, and the organization's advocacy work, at a fraction of the active rate in recognition of your years of service and reduced professional need.

                        $75.00$75.00
                          
                        Active — NP/PA —

                        For nurse practitioners, physician assistants, and other advanced-practice clinicians. Includes CME and educational programming, networking with physicians and peers, advocacy representation, and organization communications.

                        $175.00$175.00
                          
                        Active — Other Allied Health/Clinical Staff

                        For allied health professionals and clinical staff supporting patient care (e.g., PTs, RTs, clinical administrators). Includes access to educational programming, networking events, and organization communications, priced to reflect this membership category.

                        $125.00$125.00
                          
                        Student/Trainee 

                        For students currently enrolled in an allied health training program. Access to events and mentorship connections — free, to build early engagement with the organization.

                        Free$ Free
                          
                        Retired

                        For allied health professionals who are fully retired. Stay connected to the community and continuing education at a nominal rate.

                        $25.00$25.00
                          
                        Business Member

                        Designed for businesses and organizations that serve or partner with our physician and allied health community. Includes:

                        Newsletter placement & subscription — receive the member newsletter and be featured/listed as a supporting business in select issues

                        Discounted event registration — reduced rates on tickets/tables for CME dinners, galas, and networking events throughout the year

                        Early access & early-bird pricing — first opportunity to register for events and programs before they open to the general public, including early-bird rate windows

                        Vendor/exhibitor opportunities — priority access to sponsor or exhibit at conferences, meetings, and networking events, including first right of refusal on limited vendor tables

                        Organization visibility — recognition as a business member in communications and  on a "supporting partners" page or event signage

                        $500.00$500.00
                          
                        Total
                        $0.00$0.00
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