Search Internet
Search IllinoisPA.org
      Home
      IAPA Application
      Benefits
      About PAs
      Legislative
      CME/Events
      Jobs
      Forums
      Publications
      PA Programs
      Bylaws
      Ethics
      Board
      History
      Regions
      Contact Us

   



Forgot Your Password?
Some of the files within this site contain Adobe Acrobat PDF Files. You can download the Reader for FREE by clicking on the Adobe Logo below.
Download Adobe Acrobat Reader FREE!
IAPA MEMBERSHIP APPLICATION

Please complete information.  Please enclose copies of your AAPA, or affiliated AAPA constituent organization card, NCCPA and/or Illinois Registration membership card along with your check for dues and return to address below.

Mail completed form with check to 225 East Cook Street, Springfield, IL  62704.  Call 217-241-0232 with any questions!  Thank you!

Please download the form and fill it out online before printing and mailing to IAPA.

IAPA Membership Application (PDF) IAPA Membership Application (pdf)

Illinois Academy of Physician Assistants | 225 East Cook Street | Springfield, Illinois 62704 | 217-241-0232