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AAP Enterprise Membership Interest Form

AAP Enterprise Membership (EM) is a multi-year partnership with AAP National, State Chapters, and specific types of pediatric organizations.  All member-eligible physicians in the organization join both AAP National and Chapter.  EM offers member benefits/services for both individuals and organizations.

Please complete this form if your organization is interested in participating in the EM program.  

To learn more about EM, please access this short deck.


How would you describe your organization (select all that apply)? *
 
Is your organization privately incorporated? *
0/200 words
Does your organization do any type of resident training? *
After eligibility is determined, the next step is to provide a complete roster of all member-eligible physicians so that we can complete a membership analysis and price estimate. Note: NPs and PAs can be included, but they are not counted as part of the 100% membership requirement for the deepest discount. In order to do the analysis, we need first name, last name and birthdate for everyone on the roster. Are you able to provide this information? *
 
With EM, a single bill/invoice is created for everyone in the EM. Is your organization able to handle a centralized billing process? *
 
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Once submitted, your information will be forwarded to the AAP Member Value and Engagement Committee (MVAEC) to determine eligibility.  We will reach out to you within two weeks regarding next steps.

Questions about this form? Contact Tina Morton (tmorton@aap.org).