Membership application

Healthcare Provider

Clinical membership for licensed professionals contributing to patient care, education, and collaboration.

Healthcare Provider Membership

Clinical membership for licensed professionals contributing to patient care, education, and collaboration.

Submit your application, supporting documents, and payment method for committee review. Your membership will stay pending until approval.

Account and contact details

Full Name *Email Address *Password *Confirm Password *Phone Number *

Mailing Address

Street and Number *ZIP / Postal Code *City *Country *

About you

Area(s) of Interest *

Research & ScienceClinical Care & Healthcare PracticePatient Advocacy & SupportEducation & TrainingPublic Health & PolicyChronic Infectious DiseasesIntegrative & Preventive HealthClinical Trials & InnovationCollaboration & NetworkingTechnology & Digital HealthCommunity OutreachGeneral Interest in CiPRESSOther

How did you hear about CIPRESS?

Credentials & Experience

Years of Experience *I am an early-career applicant.

Upload proof of licensure / certification *Upload CME certificate (if completed in the last 2 years)

Documents

Resume / CV *Recommendation from a current CIPRESS member *

Student Status

Eligibility: Individuals currently enrolled in an undergraduate or postgraduate program related to healthcare, life sciences, or public health.

I am applying for student pricing.

Final Confirmation

I confirm that the information provided is accurate.I agree to adhere to CIPRESS's code of conduct and values.I agree to pay the annual membership fee. Payment will only be collected once your application has been approved.

Chronic Infection Pathology Related Education and Science Society — Advancing research and education in chronic infection pathology.

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