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2024 VAIMH Membership
Application & Renewal Form


Annual Memberships expire December 31.

 

Applications & Payments Submitted Between:

  • Oct. 1, 2023 - Sept. 30, 2024 -> Membership expires 12/31/2024 

 

Membership Fees:

  • $60 per person

  • Group discount: for every 10 paid memberships, 2 registration fees are waived.

 

Questions: Contact Kristen Stahr |  khstahr@vcu.edu

What is your Primary Program Type?
What is your Home Visiting Program?
Please add me to my local VAIMH Chapter:
VAIMH Membership Area(s) of Interest
IECMH Endorsement Status
IMH Endorsement Category
ECMH Endorsement Category
Have you submitted for Endorsement Renewal in EASy ($40)?
RS Provider's Credential
PAYMENT INFORMATION

VAIMH Members

  1. VAIMH Membership Fee: $60.00

IECMH Applicants & Endorsees

  1. VAIMH Membership Fee: $60.00

  2. *Endorsement Renewal Fee: $40.00

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*The annual Endorsement Renewal Fee for Active and Inactive Endorsees may be submitted here or via EASy when submitting for renewal.

 

**There is a $25 late fee for Endorsement renewals submitted after 12/31.

Payment Method
Payment Source
Type of Membership
Select payment option below
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