Get Mi International Academy Of Collaborative Professionals & Collaborative Practice Institute Joint 2022-2025

Filling out the MI International Academy Of Collaborative Professionals & Collaborative Practice Institute Joint membership application is a straightforward process. This guide will provide clear and detailed instructions for each section, ensuring you complete the form accurately and efficiently.

Follow the steps to fill out the application form.

1. Click ‘Get Form’ button to access the application and open it in your preferred editor.
2. Begin by providing your membership information. Indicate whether you are a new member or renewing your membership by checking the appropriate box.
3. Under the 'Professional Certifications' section, new members should certify completion of a two or three-day Interdisciplinary Collaborative Practice Training by checking the box and providing the date of training.
4. Certify that you have current professional liability or malpractice insurance coverage by checking the appropriate box and attaching proof to your application.
5. In the ‘Membership Fees’ section, confirm the payment amount of $240 for your annual dues, which covers membership in both CPIM and IACP. Identify which payment method you will use.
6. Provide your billing address if it differs from your office address. Fill out the City, State, Zip Code, and County fields.
7. In the 'Additional Information' section, you may opt out of being included on a mailing list for vendors by checking the corresponding box.
8. Review and sign the agreement to honor the IACP standards. Include your signature and the date on the provided lines.
9. Return the completed form to the address specified: Collaborative Practice Institute of Michigan, 820 Monroe Ave. NW, Suite 165, Grand Rapids, Michigan 49503. You can send it via mail, fax, or email.

Complete your application for membership today to join a supportive community of professionals.