ipaltc Membership Form |

Membership Benefits:

Access to members-only sections of our website providing the following:

Quick access to federal and state Transmittals and Clinical Alerts impacting IPALTC
Updates, resources, and data on Iowa PALTC quality improvement initiatives
Iowa legislative information
Quick download of memos from CMS, Iowa Health Collaborative, and State Agencies (Public Health, Inspections & Appeals, and Human Services) on specific topics for PALTC settings
Access to Iowa Health Care Association education educational offerings

Advocacy & Support:
- Leadership, education, and advocacy on federal and state-level issues affecting our patients, residents, colleagues and community
- Stay informed about current issues in IPALTC through regular e-newsletters/li>
- Opportunities for leadership and involvement in the strategic direction of the organization
Educational Opportunities:

Links to the PALTC AMDA educational offerings
On-Demand Webinars for IPALTC members twice yearly

You can register to become a member or renew your IPALTC membership online. Our membership year begins every January 1 and ends on December 31 of the same calendar year. Payment of dues applies to the calendar year when the payment is received. After you successfully submit your application below, mail a check for your membership payment to: IPALTC 1775 90th Street, West Des Moines, IA 50266. If you have any questions about membership or need assistance, please contact Mary Jane Carothers, IPALTC Executive Director at ipaltc@iowahealthcare.org , maryjane@iowahealthcare.org or 800-422-3106.

Membership Application:
You will receive an e-mail confirmation that your application has been received. Please allow 3-5 business days for IPALTC to contact you with additional membership information.

First Name *

Last Name *

Degree *

Address *

Address 2

City *

State *

Zip *

Name of Nursing Facility or Home Health Agency

Phone *

Number where you can be reached regarding IPALTC membership.

Email Address *

E-mail where you can be reached regarding membership and for IPALTC newsletters (this address will not be shared without your permission)

Membership Type *

General (Physicians, ARPNs, PAs in practice) - 1-year membership - $50 (physicians), $50 (NP,PA, Retired Physicians)

Affiliate (Nurses, DONs, LNHAs) – $50 (or $0 for IHCA members when their medical director is a member)

Send your payment to IPALTC, 1775 90th Street, West Des Moines, IA 50266
National membership information can be found at: http://www.paltc.org/membership