Membership Application

Instructions

Please choose the appropriate membership level. While you will be automatically approved for membership, your membership level may be adjusted by AKMGMA staff as needed.

Select An Option

Vendor Partner $200 Annually

Those individuals who are not directly involved with the daily operations/management of a medical practice, but who provide products and/or services which promote the ideals and concepts of medical practice.

The Vendor Partner does not have the right to vote and cannot be an officer of the Association. A Vender Partner can participate in committees, including being a Chair, attend AKMGMA meetings, and attend the annual AKMGMA conference upon registration and payment.

A Vendor Partner does not have the right to solicit or sell products through the online forum, but does have the right to participate in communications regarding the topic being discussed.

Active Member $150 Annually

Individuals who work for an organization of provider(s) engaged in the practice of medicine & meets at least one of the following criteria:

An Administrator/Manager of an organization that provides or facilitates the provision of healthcare services.
A Manager/Supervisor of a department of an organization that provides or facilitates the provision of healthcare services.
A provider/clinician engaged in the practice of medicine.
A professional medical manager who is temporarily between management positions (may remain an Active member for 12 months)
A faculty member of a university or college.
A consultant who is responsible for operations of one or more practices on an ongoing basis.

An Active member is entitled to all Association membership services, including the right to vote on all matters, attend monthly meetings, attend the annual AKMGMA meeting upon application and payment, and to serve as an officer of the Association.

Student Member $100 Annually

An individual who does not meet the requirements of Active or Vendor Partner membership but is pursing a healthcare or business-related degree OR is a staff member of an Active Member.

A Student member is entitled to all Association membership services, cannot vote, and cannot be an officer of the Association. A Student member can participate in committees, attend AKMGMA meetings and attend the annual AKMGMA conference upon registration and payment.

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist

Membership Application

Alaska Medical Group Management Association (AKMGMA)