Individual Membership Application
DUES BY MEMBERSHIP TYPE: See notes below) *
"Professional" is a medical professional and those like social workers, therapists, etc, directly involved in pediatric palliative care. )
"Associate" is a person interested or only indirectly involved in pediatric palliative care.
"Employee/member" is an employee or a member of a corporate member of the Coalition, 
"Parent" is a parent of a child in palliative care or who has been in palliative care. Benefits apply to both parents.
"Association Member " is an individual member belonging to a recognize medical professional association

QUESTIONS? 517-763-4413

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