Become a Member

Heartland Rural Physician Alliance invites independent and independent-minded physicians, clinic and hospital administrators, and other patient care providers to join our organization. 


Annual membership fee per individual 

Physician: $500     Healthcare Administrator: $250
Non-physician Healthcare Provider (PA, NP, ARNP, etc.): $250


A completed form must be submitted for each provider applying for membership.

Membership Application Type
Must select one option below.

Applicant Contact Information


Practice Information


Office or Practice Administrative Support Contact

Tax ID Number

© 2020 Heartland Rural Physician Alliance

2910 Westown Parkway, STE 302
West Des Moines, IA 50266

Tel: 515.440.4555