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VAIMH Membership
Application & Renewal Form

Annual Memberships run January 1 - December 31.


Applications & Payments Submitted Between:

  • Jan. 1, 2023 - Sept. 30, 2023 -> Membership Expires 12/31/2023 

  • 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 |

What is your Primary Program Type?
What is your Home Visiting Program?
I wish to be a member of my local VAIMH Chapter
Select your Chapter Region
VAIMH Membership Area(s) of Interest
IECMH Endorsement Status
Reactivation Goal
IMH Endorsement Category
ECMH Endorsement Category
Do you have a qualified RS Provider lined up for 2024?
What is your RS Provider's Credential?
List my email address on the Active Endorsement Registry
Have you submitted for Endorsement Renewal in EASy?

VAIMH Members

  1. VAIMH Membership Fee: $60.00

IECMH Applicants & Endorsees

  1. VAIMH Membership Fee: $60.00

  2. *Endorsement Renewal Fee: $40.00

*The annual Endorsement Renewal Fee is typically paid via EASy when Active/Inactive Endorsees submit for annual renewal. Endorsees now have the option to pay this fee simultaneously with their VAIMH Membership Fee via this app. instead of separately in EASy. 

Payment Method
Payment Source
Type of Membership
Payment Not Applicable
If paying by CREDIT CARD, please select 1 item below
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