PsychANP Membership Application
The Psychiatric Association of Naturopathic Physicians is a not-for-profit organization
dedicated to the advancement of responsible, holistic, integrated mental health care.
First name *
Your answer
Last name *
Your answer
Business mailing address (to be posted on PsychANP website) *
If student, please use home mailing address, which will not be posted on website
Your answer
Work/school email address *
Will not be shared or posted on website
Your answer
Office phone (if doctor) *
Your answer
Fax
Your answer
Website
Your answer
Tell us about yourself (check all that apply) *
Required
If you are a clinician, what percentage of your practice is mental health focused?
From which naturopathic school are you a graduate or student? *
Specialty/Expertise (if applicable)
Your answer
Year of graduation from naturopathic medical school, or year you plan to graduate *
Your answer
Membership types
Associate: Graduate of ND school, passed board exams, holds valid ND license, up to date on CME

Supporting: Interested in supporting cause of PsychANP but do not meet criteria for Associate

Corporate: Businesses supporting cause of PsychANP but do not meet criteria for Associate

Student: Student at accredited medical school

(Fellow membership status will be available in the future; the PsychANP board examination is being developed at this time. Fellow status will require being a graduate of an accredited ND medical school, holding a valid ND license, completion of post-graduate education requirements of the PsychANP, and passing a PsychANP board examination.)

Select membership type (membership expires one year from date of application approval) *
After completing this application, please use the Join or Renew button above to pay for your membership. Thank you for supporting the PsychANP!
Your application will be reviewed by our board, and you will receive a response via email within a week.
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