• Membership Application

  • Applicant Information

  • Format: (000) 000-0000.
  • Company Description

  • Membership Types

  • Please select which of the three membership types your company qualifies for.*
    • 2026/2027 Membership fees are determined based on membership type & eligibility
    • Total fee for media companies is determined based on annual POC revenue
    • Annual fees will be pro-rated for any member joining the association after the start of the Fiscal year (July – June)
    • Membership types and annual fees subject to change

  • Point of Care Offering Description

  • Membership Request

  • Membership Requirements

  • To be considered for membership, company must agree to the following:

    POCMA Bylaws, Ethics Policy, Antitrust Policy (Found here).

    POCMA Mission Statement

  • Please note your agreement by checking off the following:*
  • Disclaimer and Signature

  • I certify that my answers are true and complete to the best of my knowledge.

    If this application leads to membership, I understand that false of misleading information in my application may result in membership termination. 

  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: