VSR Membership Dues

VSR Membership Dues

Thank you for supporting the VSR! Please fill out this form even if you are paying by check so we have the most up to date contact information. Dues payments are valid for one year from the date of submission. For questions, contact VSRdirector@ramdocs.org).
Personal Information
Name:*

First NameLast Name
Degree:*
MD, DO, PhD, NP, etc.
Primary Email Address:*
example@example.com. Please enter the email address you'd prefer we use to contact you.
Phone Number
Please enter a valid phone number.
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Practice Information
I am retired.*

YesNo
Group | Practice Name *
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Office Manager Name:
Office Manager Email:
Phone:
For any mailed communications, please send to my*

Home AddressWork Address
Membership Options

Fellows, Residents, and Medical Students: select the "pay by check" option to find your membership category.
How would you like to pay?*

Pay onlinePay by check
Membership Types*

Physician Membership $100VRAHPA Membership $50Student/Resident/Fellow Membership (free)
Make checks payable to the VSR and mail to:

VSR
2821 Emerywood Parkway
Suite 200
Richmond, VA 23294
Online Payment- Membership Options
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Physician Membership MD, DO, PhD or other doctoral degree in Rheumatology
$105.00

Allied Health Professionals VRAHPA Membership Advanced Practice Providers, Allied Health Professionals and other individuals whose primary employment is in Rheumatology
$55.00

Total

$0.00

Should be Empty:

VSR Membership Dues

Personal Information

Practice Information

Membership Options