IAHPC Institutional Membership

IAHPC Institutional Membership Application

Important Information

We value the privacy and safety of the membership information you supply us. The information we collect about you is only to be used by IAHPC for the purpose of this transaction. It will not be sold or shared with other individuals or organizations. If you would like to review the information that we collect from you for this transaction, have any concerns, or need to request a correction, please contact us.

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We want to

Type of Institution (select all that apply):*

(this will be tallied for the October members' month prize)

We are glad to let you know that we have enabled our system so that the members’ list in the IAHPC website section will also be displaying a head shot (face picture) of our individual members and the logos of our institutional members. This is an optional feature.

Donate (optional)

Help promote the development of palliative care throughout the world by donating to IAHPC. The proceedings will go to a revolving fund to support program development and membership from developing countries. IAHPC is a charitable organization so donations to the organization are tax deductible. A copy of the IRS 501(c)3 determination letter is available upon request from IAHPC.

Payment method