APHA Premium and Premium +ADL Membership Application
Congratulations on taking the next step in your patient advocacy journey!
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 APHA Premium Membership.
Find the application form below.
Things to Know:
- Once you submit this form, follow the prompts to pay. Once you pay, your application will be complete
- A Premium / Premium +ADL membership costs $29 per month.
- Your membership auto-renews monthly unless you cancel before the renewal. You may cancel in your membership dashboard.
- Submission can take up to a full minute. You do not need to click on SUBMIT more than once.
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