Applications, Dues & Payments

New Applicants  |  Annual Dues Renewal  | Special Dues |   Reactivate Lapsed Membership

 

You may download these applications. Adobe Acrobat Reader is needed to download the applications. Click below to download the latest free version of Adobe Acrobat Reader.

Please answer all questions as completely and accurately as possible. If you need more space, add additional sheets and clearly label the Section(s) on the application to which they apply.

Please mail your completed application, all supporting materials, curriculum vitae and application fee to The Academy's office:

6750 Hillcrest Plaza Drive, Suite 221, Dallas, Texas 75230-1425 USA.

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NEW APPLICANTS

Step 1 - Click the link below to download and print the application for the desired membership category.

Step 2 - Payment Options:   Pay Online or Send a Check or Money Order

If you wish to pay online, please click on the appropriate button for your membership category. Then mail in your application with supporting documentation.

Diplomate Status	1 area	2 areas	3 areas
Clinical Membership
Associate Membership

If you wish to pay by check or money order, please include your payment (payable to IABMCP in U.S. funds), along with your application and supporting documentation, in the same envelope.

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ANNUAL DUES RENEWAL

Step 1 - Click the link below to download and print the Annual Dues statement.

Annual Dues Statement

Step 2 - Payment Options:   Pay Online or Send a Check or Money Order

If you wish to pay online, please click on the appropriate button for your membership category.
Then mail in your dues statement - be certain to sign the attestation and to note any changes of address.

If you wish to pay by check or money order, please include your payment (payable to IABMCP in U.S. funds) with your annual dues statement and supporting documentation.

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SPECIAL DUES

If you are a new member of IABMCP, or are a retired member, please click the pay now button below and enter the correct amount of your dues, on the next screen, based on our communication with you.

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REACTIVATE LAPSED DIPLOMATE STATUS / MEMBERSHIP

Step 1 - To reactivate your Diplomate Status, click each link below to download and print the Reactivation Request form AND the application for reactivation of Diplomate Status.

Reactivation Request Form

Application for Reactivation of Diplomate Status

Step 2 - Payment Options:   Pay Online or Send a Check or Money Order

If you wish to pay online, please click on the Pay Now button below. Then mail in your reactivation form, streamlined application form, and supporting documentation.

If you wish to pay by check or money order, please include your payment (payable to IABMCP in U.S. funds) with your reactivation form, reactivation application form, and supporting documentation, and mail all materials in the same envelope.

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