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.

Physician: $500

Healthcare Administrator: $250

Non-physician Healthcare Provider: $250

Become a Member

Membership Application Type
Must select one option below.

Applicant Contact Information

Practice Information

Office or Practice Administrative Support Contact

Become a Member

Membership Application Type Must select one option below.

Applicant Contact Information

Practice Information

Office or Practice Administrative Support Contact

Membership Application Type
Must select one option below.