Enterprise Membership Interest Form

AAP Enterprise Membership (EM) is a multi-year collaboration with AAP national, your state AAP chapter, and your pediatric organization. For the most accurate cost estimate, please include all member-eligible physicians in your organization. Advanced practice providers are welcome to join as well!


EM offers member benefits and services to the individual and organization. Submit this form with a roster and AAP will contact you shortly. Thank you for your interest.

 

Organization

 
 

Eg. academic institution, hospital, health system etc.

 
 
 
 

 

Primary Contact Person

 
 
 
 
Phone
 
 

 

This number should include all MDs, DOs, PAs and NPs. Please do not include anyone in training.

 

Will you be able to provide this information?