Membership

Membership can become the initial step of a rewarding overall experience. We encourage you to join our association of black doctors to help foster growth and development in your chosen profession.

Dues payments must be submitted at the time of application submission.
– Practicing physician $300/calendar year
– First year of practice $150/calendar year
– Resident/Fellow $50/calendar year

Membership Application

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Name*
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Practice Address*
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No home information will be shared with third parties/affiliates for marketing/promotional purposes.
No mobile information will be shared with third parties/affiliates for marketing/promotional purposes.

Education

Board Certification

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Please enter your initials to indicate your signature.
How did you hear about us?*

Dues payments must be submitted at the time of application submission.
- Practicing physician $300/calendar year
- First year of practice $150/calendar year
- Resident/Fellow $50/calendar year
Text Notification

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