Member Community Online Application

AAPM&R Member Community Online Application

AAPM&R physiatrist members of all different backgrounds and experiences have a new way to connect with each other—AAPM&R Physiatrist Member Communities! Member Communities are self-identified, organically established communities offering opportunities for physiatrist members to connect with each other, share experiences, and advance the future of the specialty together!
AAPM&R Physiatrist Member Communities can be:

Clinically focused (i.e., stroke, sports medicine, etc.)
Practice focused (i.e., inpatient rehabilitation, etc.)
Identity focused (i.e., women physiatrists, etc.)

The focus and goals of the community are up to you and your peers! You simply need to complete the application process, which requires your community goals and a minimum of 10 community members who are AAPM&R physiatrist members.

Please note, you may only be the chair of one Member Community at a time.

1. Please provide complete current contact information for who is submitting the application for a new Member Community.

First Name

Last Name

Title

Organization

City

State

Email Address

Work Phone Number

Mobile Phone

2. Are you a current member of the Academy? *This question is required.

3. What is the name of the proposed Member Community? For a list of current Member Communities, click here. *This question is required.