Family or Advocate Application

If you were given a code to sign up for an organization, enter it now and hit the submit button

Your Dues Rate Type is: Family/Advocate $50.00


You must create a password that will be used by your members to join your organization. You will be given instructions at the end of the member application on what information to pass onto your members, and how they can join.

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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.
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English
Mandarin Chinese
Hindi
Spanish
French
Standard Arabic
Bengali
Russian
Portuguese
Indonesian
Other Language -Please Specify













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Person living with neurologic disease
Spouse/partner of a person with neurologic disease
Other family or friend of person with neurologic disease
Child of a person with neurologic disease
Parent of a person with neurologic disease
Professional or volunteer advocate for people with neurologic disease
Other - Please Specify









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











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INPCS Website
Colleague
Friend
Family Member
Neuropalliative Care Professional
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.

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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.



 


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