Physician Member Application

Complimentary membership rates may apply, dependent upon country of residence. Please click here to view a list of World Bank countries to see if your country of residence qualifies for complimentary membership dues pricing. If you qualify, please enter the promo code WBADiscount on the payment page.


*

*
*
*
*
*
*
*
*
*
*
*
 
*
 
 
Subscribe to receive information about educational resources such as a speaker series by experts in the field, training courses, free education videos, and more.
 
Subscribe to keep informed about general INPCS updates such as committee and educational program volunteers, voting in eligible elections, etc.
 
Subscribe to stay up to date on the upcoming Annual Meeting, Coffee or Cocktails, Speaker Series, and other meetings and events.
 
Subscribe to INPCS’s Newsletter, which contains helpful information for healthcare providers and family/advocates, as well as resources, society updates, and more.
 

 

Please enter the Username/Password you would like to use to login to this website.

  • Your Username must be unique and must be at least 6 characters.
  • Passwords must be a minimum of 8 alpha-numeric characters with at least 1 number or 1 letter.
*
*
*

 
*
*
*
English
Mandarin Chinese
Hindi
Spanish
French
Standard Arabic
Bengali
Russian
Portuguese
Indonesian
Other - Please State Below













*
*
*
*
*
*
*
*
*
meeting neuropalliative providers
meeting persons and caregivers living with neurologic illness
clinical learning opportunities
research opportunities‚ workshops and networking
advocacy work
career mentorship
access to educational materials‚ including the Annual Meeting
working to raise the global standard of neuropalliative care
other - please specify











Allowed file types: doc,docx,pdf,ppt,pptx,xls,xlsx,txt,gif,jpg,png,jpe
*
*
INPCS Website
Colleague
Another Association
Email
Social Media
Other









 


Will you partner with us financially to raise standards of care for all people affected by neurologic illness? Your tax-deductible donation to INPCS helps us to build professional networks, support research, develop educational materials and opportunities, create guidelines for clinical practice, and advocate for the neuropalliative needs of patients and carepartners.

Each year, INPCS spends multiple thousands of dollars to process payments made by credit card. This small optional donation will help cover those costs for your transaction so that we can devote more of our funds to furthering the INPCS mission.

$


Enable Automatic Renewals? *
Select "Yes" to enroll in automatic membership renewal. The payment method submitted with this form will be used for your future membership renewals. You can change the automatic renewal setting or saved payment method at any time in either the "Payment Methods" or "Renewal Settings" where you edit your profile.