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Who We Are

Our members are organizational representatives from community and tribal based providers of comprehensive primary health care, and organizations who support the work and share the vision of the Association. 

 

Click here
to learn more about the levels of membership and fill out our on-line application
.


 


Please fill out the form below and click the submit button:

Indicate the category of membership:
Organizational ($500/yr)   Associate (250/yr) 

Representative Name:
Organization Name:
Physical address:
City:
State: Zip:
Mailing Address:
If different
City
State: Zip:
Area Code:
Phone: Ext:   Fax:
Email:
URL (website):

Type of Organization or Agency:  (Please check all that apply)


501(c)3 non-profit corporation
Tribal Health Center
Private Practice (Group)
Unit of Higher Education

Other (please describe.......

Federally Qualified Community Health Center (FQHC)
FQHC "look alike"
Community-based social service organization
Community-based health service organization
Unit of State or local government



Why you are interested in becoming a member of the Association:



What are your expectations of the Association relative to your organization:


Thank you!  Please click the submit button (or clear to re-enter the form).  You will receive a confirmation that the application has been submitted.  If you do not receive a confirmation, please call 775 887-0417 X 100 or email Dalene Altamirano.

Access to Care 2008
Symposium



August 20-22, 2008 Lake Tahoe, NV



Senator Richard H. Bryan, Keynote Speaker
Click Here

for Symposium Information and on-line registration


Registration Fee is $280 ($240 for GBPCA Members).  There is no charge for rooms or food.  Just check your preferences on the registration form.

 

         
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