PACE Membership Application

PACE = Patient Advocate Career Exploration

Once we receive your payment, your application will be complete. You’ll get all the information you need to access your new membership.

Not quite ready to fill this out? Learn more about PACE Memberships.
Do you live outside the US or Canada? Please join as a PACE International member instead.

Things to Know:

1. Once you submit this form, follow the prompts to pay. Once you pay, your application will be complete.
2. PACE membership costs $89 per year. 
3. Your membership auto-renews unless you cancel before the renewal. You may cancel in your membership dashboard before the next renewal date.
4. Submission can take up to a full minute. You do not need to click on SUBMIT more than once.

*Required Fields

First Name:* First Name Required

Last Name:* Last Name Required

City:* City is Required

State or Province:* State or Province is Required

Country: Country is not valid

USA Canada Other

Why are you interested in advocacy as a career?: Why are you interested in advocacy as a career? is not valid

Do you hold any of these certifications?:* Do you hold any of these certifications? is Required

Board-Certified Patient Advocate (BCPA) Certified Senior Advisor (CSA) Certified Life Care Planner (CLCP) Certified Geriatric Care Manager (CGCM) Certified Medical Coder (CMC) Certified Case Manager (CCM) Social Worker (LCSW, MSW) Registered Nurse (RN) Certified Nurse Practitioner (CNP) Physicians Assistant (PA) Medical Doctor (MD) Pharmacist (PharmD) Occupational Therapist (OT) Physical Therapist (PT) Chiropractor (DC) Medical Assistant (CMA) Certified Nurse Assistant (CNA) Other None of the Above

Where did you hear about the Alliance of Professional Health Advocates?: Where did you hear about the Alliance of Professional Health Advocates? is not valid

I have read and agree to the APHA Membership Terms Of Service*

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength  Password must be "Medium" or stronger

Have a coupon?

Coupon Code: Invalid Coupon Coupon applied successfully

 

No val Please fix the errors above