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The Rhode Island Public Health Association is a non-profit tax-exempt professional organization concerned with the advancement of public health throughout the state. RIPHA brings together all professionals in a unique, multi-disciplinary environment of professional exchange, study, and action.

 

Mail your application to:

RIPHA: P.O. Box 6215, Warwick, RI 02887 or save your application as a pdf and send to rbucklin@bucklinhr@cox.net Call Renee at (401) 884-1117 for more information.

Membership Application

Last Name*: First Name*: Middle Initial:
Degree(s):
Position or Title: Organization:
Preferred Mailing Address*:
City/Town*: State*: Zip Code*:
Telephone*: ( ) -
Fax Number: ( ) -
E-Mail Address:

Membership Categories and Dues
(Select one)
 - $40 per year
- A contribution in addition to the regular dues
- $20 for anyone enrolled as a full time student in a college or university

Interest
To help us plan for professional education, please indicate your professional interest:

Maternal/Child Health Chronic Disease Prevention Epidemiology
Environmental Health Oral Public Health Gerontological Heatlh
Health Information Systems Medical Care Public Health Nursing
Other (Please specify)    
If you selected other, please specify:

As a volunteer for RIPHA your active participation is encouraged. On which committe(s) would you like to serve?

Membership Program Planning Advocacy Communications

Note: Fields marked with a "*" are required

 
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