Renew Your Membership

Physicians - Please fill out the form below and download the Membership Application to successfully renew your membership with Docs 4 Patient Care.
(Note: Be sure to only click the 'Submit' button once.)


Medical Students/Residents - Please click here to renew.

Personal Information










Billing Information





 
Membership Information



Gold and Active membership relate to the support levels of membership. In order to maximize our influence and meet our society objectives, we hope for your gold membership today.

Gold $1000
Active $250

 


$

Please review this amount before submitting to verify that it reflects the Membership Level & optional Contribution Amount you've requested. You may change this amount by checking & unchecking the appropriate boxes.

To complete your payment, click 'Submit' ONLY ONCE. Your transaction may take a few seconds, so please be patient. Clicking 'Submit' will process the above total based on the payment and billing information provided. Thank you.



Please Note:
Membership Disclaimer:
Docs 4 Patient Care is a 501(c)(6) corporation. Docs 4 Patient Care physician membership dues are not deductible as a charitable contribution for federal income tax purposes. However, they may be partially deductible as a business expense.  Please consult your professional tax advisor for the most up-to-date information concerning your specific tax status.  Contributions by non-members are not tax deductible except by certain criteria, which should also be discussed with your professional tax advisor.