APHA logo
HOME   JOIN   DIRECTORY   FAQs  ABOUT   CONTACT   BLOG   
 
 PACE Membership Application
(PACE = Patient Advocate Career Exploration) 
 
..................
Not quite ready to fill this out?
Learn more about PACE memberships.




Join Now! 
Your membership will be extended through August 25, 2017

..................
All fields are required.

• Do you live outside the US or Canada?  Please fill out our PACE International application instead. 
 
 
Name:
Your email address:
Your email address (repeat):
Choose a Login ID for your membership homepage
(minimum 8 characters - please do NOT use special characters like #$%&* or @):

*Important! 
Write down this ID. You wil need it to log in once your membership has been processed and accepted.
Choose a password for your membership homepage
(minimum 8 characters - please do NOT use special characters like #$%&* or @):

*Important! 
Write down this password. You wil need it to log in once your membership has been processed and accepted.
Your city:
Your state/province:
Your country:*
Where are you in your patient advocate career development?
(choose as many as apply)
I am just beginning to think about becoming a patient advocate.
I am taking classes or workshops to become a patient advocate.
  If so, please tell us where you are taking classes:
I have worked as an advocate or caregiver as a volunteer (for a loved one, neighbor, friend.)
I have done some paid work as a patient advocate but am not ready to commit to changing careers to advocacy just yet.
Other (250 characters maximum):
Do you have education or experience working in healthcare?
NO previous work in healthcare
YES (Please describe):
What do you hope to learn during your PACE membership in the Alliance?
How did you hear about the Alliance?
Once you hit SUBMIT, you will be taken to a page with dues payment options. Once you have paid your dues ($59 for year one, or, if you are applying for PACE International*, $29 USD, we will process your membership within 24 hours (sometimes within minutes!) 

You will not be able to log in until your application has been processed
.
As soon as we have your application processed, you will receive a Welcome Email with log in instructions and a link to our PACE Member Orientation.
This helps us reduce spam:




 

© DiagKNOWsisTM
All rights reserved.


Contact us at info(at)APHAdvocates.org