IPHA Membership Application

In order to comply with IRS Regulations for 501c tax exempt organizations, we are required to charge membership dues. Please fill out the application below and submit your IPHA Membership via secure online payment. 2016 Annual dues are $25.00 USD. If you would prefer to pay your membership via mail, please click here to download the application.
  • (ex: MD, etc.)
  • (ex: Pediatric Nephrologist)
  • * $25 Membership renews annually.