Eastern Pennsylvania Geriatrics Society
A professional organization dedicated to improving the health and well being of the elderly in the Delaware Valley       

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American Geriatrics Society
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Join the EPGS - Individual Membership
Your support strengthens our ability to offer quality educational and networking programs which enhance the quality of geriatric care. Thank you.
To Renew your current membership, either contact us directly or fill out the PDF or Online Payment Form.

Questions about Membership?
Please contact Nancy Carpey, Administrative Assistant/Event Director, at Membership@EPGeriatricsSociety.org

To mail your New or Renewal Memberships, clich here to download an Adobe PDF of the Membership form an mail to:
    Eastern Pennsylvania Geriatric Society
    c/o Nancy Carpey
    761 Sproul Road, #194, Springfield, PA 19064
    610-812-1583
    Nancy@EPGeriatricsSociety.org

Or fill out the following form completely to pay online: $75.00 Annual Membership ($60.00 for Students, Residents, and Fellows)
Choose:    Member ($75)        Student ($60)        Resident ($60)        Fellow ($60)

First Name       Last Name       Degree(s)      

Renewal:   please check here if there are no changes to your previous contact information

Address  

City       State       Zip  

Email  

Home Phone  



I am interested in learning more about becoming an EPGS Board Member. Please call or email me with more information.



Employer       Phone       Fax  

Position       Discipline  

Specialty / Area of Expertise      



Are you willing to serve on a speaker bureau?   Yes

 



Would you be willing to work on the following committees:
Public Policy     Membership     Education and Program Planning      Other:



What topic(s) are of interest to you:
Clinical care Long term care Interdisciplinary teams
Patient education/compliance Evidenced-based geriatrics Cultural competencies
Ethics Update in geriatrics Policy issues
Legislation Medicare/Medicaid regulation Pharmaceuticals/therapeutics
Other   





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