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ALLIED MEMBERSHIP APPLICATION 2023 MEMBERSHIP DUES ARE NONREFUNDABLE. DUES EXPIRE DECEMBER 31ST ANNUALLY. Please complete the form in its entirety, and sign & date below. Once completed, submit your
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Hospitals and medical facilities that require additional support staff such as allied health professionals.
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Allied staff member refers to non-physician healthcare professionals who work in a medical practice or facility.
Medical practices or facilities are required to file allied staff member.
Allied staff member can be filled out by providing information such as name, job title, qualifications, and contact details.
The purpose of allied staff member is to keep track of non-physician healthcare professionals working in a medical setting.
Information such as name, job title, qualifications, and contact details must be reported on allied staff member.
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