General Member Advancement Form

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Contact Information
First Name
Last Name
Email Address
Phone Number
APA Member ID (if known)
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If you meet the below criteria, please select one of the following:* This field is required.You are eligible to hold General Member status if you: 1. Have completed an ACGME-, RCPS(C)-, or AOA-approved psychiatry residency training program, and 2. Hold a current valid medical license.
I am advancing into psychiatry and am applying for APA General Membership.
I am continuing my training in a fellowship program and will, therefore, continue as a Resident-Fellow Member (RFM).
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Education Information* This field is required.Still in Training? Moving to a Fellowship Program?
Institution Not Listed
Advocate Health Care (Advocate Lutheran General Hospital)
Albany Medical Center
Albert Einstein Medical Center
Allegheny Health Network Medical Education Consortium (AGH)
A-OPTIC/The Medical Center
Arnot Ogden Medical Center
Arrowhead Regional Medical Center
Baylor College of Medicine
Bergen Regional Medical Center
Berkshire Medical Center
Boston University Medical Center
Brookdale University Hospital and Medical Center
Butler Hospital/Brown University
California Pacific Medical Center
Cambridge Health Alliance
Carilion Clinic-Virginia Tech Carilion School of Medicine
Carolinas Medical Center
Case Western Reserve University (MetroHealth)
CEME/Florida Dept of Corrections
Central Michigan University College of Medicine
Charles R Drew University of Medicine and Science, College of Medicine
Charleston Area Medical Center/West Virginia University (Charleston Division)
Charleston Internal Medicine-Psychiatry
Chicago Medical School/Rosalind Franklin University of Medicine & Science
Citrus Health Network, Inc.
Cleveland Clinic Foundation
Community Health Network, Inc.
Community Health of South Florida, Inc. (CHI)
Cooper Medical School of Rowan University/Cooper University Hospital
Creedmoor Psychiatric Center
Creighton University
Dalhousie University
Delaware Psychiatric Center
Detroit Medical Center/Wayne State University
Detroit Wayne County Health Authority (Authority Health) GME Consortium
Drexel University College of Medicine/Hahnemann University Hospital
Duke Combined Med-Psych
Duke University Hospital
East Tennessee State University
Eastern Virginia Medical School
Emory University School of Medicine
Geisinger Health System
George Washington University
Grandview Hospital & Medical Center
Greenville Health System/University of South Carolina
Griffin Memorial Hospital
Harlem Hospital Center
Harvard Longwood Medical School
Harvard South Shore
Hennepin County Medical Center/Regions Hospital
Henry Ford Allegiance Health
Henry Ford Hospital/Wayne State University
Howard University
Icahn School of Medicine at Mount Sinai
Icahn School of Medicine at Mount Sinai/St Luke's-Roosevelt Hospital Center
Indiana University School of Medicine
Institute of Living/Hartford Hospital
Interfaith Medical Center
Jackson Memorial Hospital/Jackson Health System
Jamaica Hospital Medical Center
John Peter Smith Hospital (Tarrant County Hospital District)
Johns Hopkins University
Kaiser Permanente Southern California
Kansas City University of Medicine & Biosciences-GME Consortium (KCU-GME Consortium)/Ozark Center
Kaweah Delta Health Care District (KDHCD)
KCUMB-COMEC/KCHC Consortium-Signature Psychiatric Hospital
KCUMB-COMEC/Research Psychiatric Center
Larkin Community Hospital
LECOMT/Manatee Glens Hospital
Lincoln Medical and Mental Health Center
Loma Linda University Health Education Consortium
Los Angeles County-Harbor-UCLA Medical Center
Louisiana State University (Shreveport)
Louisiana State University
Louisiana State University/Ochsner Clinic Foundation
Loyola University Medical Center
Maimonides Medical Center
Maine Medical Center
Maricopa Medical Center
Marshall University School of Medicine
Mary Hitchcock Memorial Hospital/Dartmouth-Hitchcock
Massachusetts General Hospital/McLean Hospital
Mayo Clinic College of Medicine and Science (Rochester)
McGaw Medical Center of Northwestern University
McGill University
McMaster University
Medical College of Georgia
Medical College of Wisconsin Affiliated Hospitals (Northeastern Wisconsin)
Medical University of South Carolina
MedStar Health/Georgetown University Hospital
Meharry Medical College
Memorial University of Newfoundland, St. John's
Michigan State University
Millcreek Community Hospital
Montefiore Medical Center/Albert Einstein College of Medicine
Morehouse School of Medicine
Mount Sinai Beth Israel Medical Center
Mount Sinai School of Medicine-Elmhurst
Mountain Area Health Education Center
Nassau University Medical Center
National Institutes of Health Clinical Center
Naval Medical Center (Portsmouth)
Naval Medical Center (San Diego)
New York Bronx Lebanon Hospital Center/Albert Einstein College of Medicine
New York Medical College (Metropolitan)
New York Medical College at Westchester Medical Center
New York Presbyterian Hospital (Columbia Campus)/New York State Psychiatric Institute
New York Presbyterian Hospital (Cornell Campus)
New York University School of Medicine
Northern Ontario School of Medicine
NSUCOM/Largo Medical Center
NYCOMEC
Ohio State University Hospital
Oklahoma State University Center for Health Sciences
Oregon Health & Science University
Palm Beach Consortium for Graduate Medical Education
Palmetto Health/University of South Carolina School of Medicine
Penn State Milton S. Hershey Medical Center
Pine Rest Christian Mental Health Services
Ponce Health Sciences University
Providence Sacred Heart Medical Center
Puget Sound Psychiatric Center
Queen's University
Richmond University Medical Center
Rocky Vista University Sky Ridge
Rowan SOM/Jefferson Health/Our Lady of Lourdes Health System
Rush University Medical Center
Rutgers New Jersey Medical School
Rutgers Robert Wood Johnson Medical School
Saint Elizabeths Hospital-DC Department of Behavioral Health
Samaritan Health Services - Corvallis
San Mateo County Behavioral Health and Recovery Services
Seton Hall University School of Graduate Medical Education
Sidney Kimmel Medical College at Thomas Jefferson University/TJUH
Southern Illinois University
St Barnabas Hospital
St Elizabeth's Medical Center
St Louis University School of Medicine
St. John's Episcopal Hospital-South Shore
St. Mary Mercy Hospital
Stanford Health Care-Sponsored Stanford University
STILL OPTI/St. Louis Graduate Med Ed Consortium
Stony Brook Medicine/Mather Hospital
Summa Health System/NEOMED
SUNY at Stony Brook
SUNY Downstate Medical Center
SUNY Upstate Medical University
Temple University Hospital
Texas A&M College of Medicine-Scott and White Medical Center (Temple)
Texas Tech University Health Sciences Center (Permian Basin)
Texas Tech University Health Sciences Center at Lubbock
Texas Tech University Health Sciences Center-PLFSOM
Tripler Army Medical Center
Tufts Medical Center
Tulane University
UCLA Medical Center/Semel
UCLA-Kern Medical Center
UCLA-San Fernando Valley/VA Greater Los Angeles
UMMS-Baystate
Unity Health-White County Medical Center
Université de Montréal
Université de Sherbrooke
Université Laval
University at Buffalo
University Hospitals Case Medical Center
University of Alabama Medical Center
University of Alberta
University of Arizona College of Medicine-Phoenix
University of Arizona College of Medicine-Tucson
University of Arkansas for Medical Sciences
University of British Columbia
University of Calgary
University of California (Irvine)
University of California (San Diego) Medical Center
University of California (San Francisco)
University of California (San Francisco)/Fresno
University of California Davis Health System
University of California Riverside School of Medicine
University of Central Florida/HCA GME Consortium (Gainesville)
University of Chicago
University of Cincinnati Children's Hospital
University of Cincinnati Family Med Psychiatry
University of Cincinnati Medical Center/College of Medicine
University of Cincinnati Triple Boarders
University of Colorado Denver (UC Denver)
University of Connecticut
University of Florida College of Medicine Jacksonville
University of Florida
University of Hawaii
University of Illinois College of Medicine at Chicago
University of Illinois College of Medicine at Peoria
University of Illinois College of Medicine at Urbana
University of Iowa Hospitals and Clinics
University of Kansas (Wichita)
University of Kansas Medical Center University of Kansas School of Medicine
University of Kentucky College of Medicine
University of Louisville School of Medicine
University of Manitoba
University of Maryland/Sheppard Pratt
University of Massachusetts
University of Michigan Health System
University of Minnesota
University of Mississippi Medical Center
University of Missouri-Columbia
University of Missouri-Kansas City School of Medicine
University of Nevada Las Vegas (UNLV) School of Medicine
University of Nevada Reno School of Medicine
University of New Mexico School of Medicine
University of North Carolina Hospitals
University of North Dakota
University of Oklahoma Health Sciences Center
University of Ottawa
University of Pennsylvania Health System
University of Pittsburgh Medical Center Medical Education/Western Psychiatric Institute and Clinic
University of Puerto Rico
University of Rochester
University of Saskatchewan
University of South Alabama
University of South Dakota
University of South Florida Morsani
University of Southern California/LAC+USC Medical Center
University of Tennessee
University of Texas at Austin Dell Medical School
University of Texas Health Science Center at Houston
University of Texas Health Science Center at Tyler
University of Texas Health Science Center San Antonio Joe and Teresa Lozano Long School of Medicine
University of Texas Medical Branch Hospitals
University of Texas Rio Grande Valley School of Medicine
University of Texas Southwestern Medical School
University of Toledo
University of Toronto
University of Utah
University of Vermont Medical Center
University of Virginia Medical Center
University of Washington
University of Wisconsin Hospitals and Clinics
Vanderbilt University Medical Center
Vidant Medical Center/East Carolina University
Virginia Commonwealth University Health System
Wake Forest University School of Medicine
Walter Reed National Military Medical Center
Washington University/B-JH/SLCH Consortium
West Virginia University
Western Michigan University Homer Stryker M.D. School of Medicine
Wright Center for Graduate Medical Education
Wright State University
Yale-New Haven Medical Center
Zucker School of Medicine at Hofstra/Northwell at Staten Island University Hospital
Zucker School of Medicine at Hofstra/Northwell at Hillside Hospital
Use the drop-down to select your Institution Name
Program/Fellowship Start Date (MM/DD/YYYY)
Program/Fellowship End Date (MM/DD/YYYY)
Fellowship
Residency
Program Type
Type of Fellowship, if applicable
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Please Tell Us About Your Plans* This field is required.Transitioning to practice?
Alabama
Alaska
Alberta
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
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Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachussetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Northern Territory
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgina
Washington
West Virginia
Wisconsin
Wyoming
State your medical license is held in
License Number
License Expiration Date (MM/DD/YYYY)
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Address* This field is required.APA and District Branches (DBs) have a dual general membership requirement and the address you provide determines your District Branch affiliation.
Work
Home
School
Other
Address Type
Street Address
City
State/Provine
Postal/Zip Code
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District Branch Transfer* This field is required.Click here to view District Branches.
Yes
No
Unsure
I need to initiate a transfer to a new District Branch.
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SubmitQuestions? Call us at 888.357.7924, email membership@psych.org, or submit your question(s) below.
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