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    Member Application

    Level
    Full Membership $175.00 (USD) Subscription period: 1 year Automatic renewal: no

    What are the qualifications to join?

    NAHAC membership is open to those who are interested in the field of healthcare advocacy. They may be medical professionals, consumer advocates,  people in academia and research and people involved in policy and legislative efforts.

    Fill in application form

    Application form

    * Mandatory fields
     

     

    *First name
    *Last name
    Organization
    Logo
    *e-Mail
    Phone
    *Street Address
    Street Address 2
    *City
    *State or Province
    *Postal Code
    *Country
    *Password
     
     

    Professional information

    Job Title
    Work Environment
    Years in the Field
     

    Background and Training

    What type of Medical Training do you have? (If any)
    What kind of Advocacy experience do you have? (If any)
    Do you have a degree in Healthcare Advocacy?
    From where?
    Have you participated in Education and/or Research
    Other (Please explain)

    Discount code

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