Contact Us   |   Sign In   |   Register
Proof of Status

If you are applying for IADMS membership or for Annual Conference registration at a reduced fee (as a student, healthcare trainee, or senior), please complete this form and provide the necessary information.

You must attach a file which provides proof of your status.

Students or healthcare trainees must attach a file with written proof of your status. This must be an official document from the school or institution where you are studying or training.

Seniors must attach a file with official proof of your date of birth.

First Name *
Last Name *
Postal Code
Phone *
Email Address *
Attach File:
Comments *

Association Management Software Powered by YourMembership  ::  Legal