APAOM - Membership Application

Complete the online application below or click here to download a printable copy of the Membership Application.

Select membership level

* Mandatory fields

* Membership level

Fellow - $75.00 (USD) Subscription period: 1 year No automatically recurring payments Fellow Member is a graduate of an accredited Physician Assistant Program or are certified by the National Commission on Certification of Physician Assistants (NCCPA) who shall be employed within, or be a participant of occupational medicine, or have worked in occupational medicine. APAOM Fellow Members shall be entitled to the privilege of the floor, to hold formal office, and to vote.

Physician - $75.00 (USD) Subscription period: 1 year No automatically recurring payments Physician Member is a U.S. licensed physician who wishes to associate with the organization. Physician Members shall have the privilege of the floor but shall not be entitled to vote or hold office.

Associate - $60.00 (USD) Subscription period: 1 year No automatically recurring payments Associate Member is a person engaged either in selling products and/or providing other services to PAs or an individual employed by a government agency that does not qualify for any other membership category. Associate Members shall be entitled to the privilege of the floor but shall not be entitled to vote or to hold office.

Dual - $50.00 (USD) Subscription period: 1 year No automatically recurring payments Dual Member is a person eligible for Fellow Membership who is also a member of the Association of Family Practice PAs (AFPPA). Dual Members shall be entitled to the privilege of the floor but shall not be entitled to vote or to hold office.

Retired - $50.00 (USD) Subscription period: 1 year No automatically recurring payments Retired Member is a retired individual who was an APAOM Fellow Member. Retired Members shall be entitled to the privilege of the floor but shall not be entitled to vote or to hold office.

Student - $5.00 (USD) Subscription period: 1 year No automatically recurring payments Student Member is a person enrolled in an accredited program or an unaccredited program recognized by the AAPA. Student Members shall be entitled to the privilege of the floor but shall not be entitled to vote or hold office except for the elected Student Representative. The Student Representative shall be elected by the BOD. The Student Representative shall be entitled to the privilege of the floor, and to vote.

Active Duty - Free Subscription period: 1 year No automatically recurring payments Active Duty Member is a PA currently on active duty in the US Military who is eligible for Fellow Membership. This membership must be renewed each year while on active duty. Active Duty Members shall have the privilege of the floor and to vote.

Board of Directors

Contact US

APAOM is a 501(c)3 non-profit organization

Sitemap