CMA KC Membership Form

CMA Kansas City Membership Form

Helping Medical Professionals Connect with Christ
Membership in the Catholic Medical Association of Kansas City is annually renewed based on the academic calendar year. Your continued support allows us to provide valuable resources and events to our members and advance our mission of integrating faith and medicine.

At CMA, we believe that healthcare should be guided by the principles of compassion, ethics, and faith. By becoming a member, you join a community of healthcare professionals dedicated to upholding these values in their practice.

We look forward to welcoming you into our vibrant and supportive community. Together, we can make a positive impact on healthcare and society.

The annual cost of membership is as follows:

$150 for providers (reduced to $75 for national CMA members)
$50 for allied healthcare personnel and general membership
FREE to med students, residents, and other healthcare personnel in training

We will be updating the physician directory on www.catholicmedkc.org, please provide directory information below along with personal information for membership purposes.
WEBSITE LISTING INFORMATION

This information will be placed on the CMA KC website public physician directory
Name*

First NameLast NameCredentials
Company/Institution*
Specialty*
Office Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Office Number*

Area CodePhone Number
Link to work website:
Provide a hyperlink(s) to your website, Linked In profile, or link of choice.
MEMBER INFORMATION

This information is for membership purposes only and will not be shared publicly.
Home or Preferred Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Mobile Number*

Area CodePhone Number
Are you a National CMA member?*

YesNo
The annual program cost for First Saturday's membership is $150 for providers (reduced to $75 for National CMA members), $50 for allied healthcare professionals or general membership, and FREE to med students, residents, and other healthcare personnel in training.
Which Membership are you selecting?

Provider Membership ($150)Provider Membership, National CMA member ($75)Allied Healthcare Personnel/General Membership ($50)Premed, Med students and Residents (FREE)
PayPal is the payment tool used to process credit/debit card payment - you do not need a PayPal account to use this tool. After hitting submit, you will be taken to the PayPal login page, simply scroll down to the light blue box labeled "Pay with Debit or Credit Card" and you will be taken to a PayPal Guest Checkout page.
Credit/Debit Card Payment*
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Provider Membership - Standard$150.00

Provider Membership - CMA National Member$75.00
If you have a national CMA membership you may select this option.

Allied Healthcare Personnel/General Membership$50.00

Total $0.00
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CMA Kansas City Membership Form

WEBSITE LISTING INFORMATION

MEMBER INFORMATION