To sign up for membership with the AAPPM, please fill out your information below.

Please note that all prospective DPMs must currently be and remain members in good standing of the American Podiatric Medical Association to qualify for AAPPM membership. Assistant members must have a DPM in their practice who is an APMA member. Also please note that if we are notified that you have been dropped from APMA membership, we will also need to drop you from AAPPM membership. We will not issue any membership fee refunds for members whose APMA memberships are suspended.

Special New AAPPM Membership Offer

for Practices with three or more doctors - First two
doctors pay dues. All other doctors join free!

All of your information is encrypted and secure through our system.

Once your application has been received and processed, you will receive an acknowledgement via email if you have provided us with an email address followed by a welcome packet via US mail. If we have not accepted you into membership because APMA does not list you as a member in good standing, you will be notified by email if possible and by US mail.

Please allow three to five business days for us to process your request. You will receive an email from us at that time and your welcome packet in the mail in five to seven business days after your membership is processed. Please note that membership requests are processed Monday through Friday only.

First Name

Middle Name (or initial)

Last Name

 Name Suffix (Jr., Sr., etc.)

Credentials (DPM, RN, etc.)
Practice
 
Street
City
State
Zip
Phone
Fax
 
E-Mail Address
   
Year began in practice if DPM
   

Please indicate type of practice
Solo practitioner
Hospital based
Multi-disciplined group
All podiatrist group of #

Please note: All DPMs must currently be and remain members in good standing of the American Podiatric Medical Association to qualify for AAPPM membership. Assistant members must have a DPM in their practice who is an APMA member. Also note that membership fees are subject to change without notice.

How did you hear about AAPPM?

Membership types and fees
Active APMA member — $269
Associate 1 to 4 APMA member (in practice 4 years or less) — $169
Resident APMA member — $89
Assistant Member (non-DPM staff member) — $139
Doctor joining free in practice with 2 doctors already members paying dues

Please provide names of the 2 doctors who are already AAPPM members paying dues in the block below (mandatory).

Required Authorizations
Information given on this application is accurate and complete to the best of my knowledge. I fully understand and agree that as a condition to making this application, any misrepresentations, misstatements or omissions, whether intentional or not, shall constitute cause for rejection of this application and/or membership

I further verify that I or a DPM in my practice am a member in good standing of the American Podiatric Medical Association.

I authorize the American Academy of Podiatric Practice Management to contact me via the fax number listed above.

I authorize the American Academy of Podiatric Practice Management to contact me via the email address listed above.

Credit Card Number (VISA or MasterCard only)
Name on card Expiration Date /

Podiatrist - Middleton, AAPPM , Middleton MA, 01949 (978) 646-9091

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