Join Form

Full Membership
If you are a physician in any specialty (M.D.; D.O.), a psychologist or a doctoral-level researcher in psychopharmacology or pharmacology (Ph.D.), you are eligible to be a Full Member of ASCP. The dues are $100 per year, and members receive discounts on all ASCP meetings and products. Dues are waived for Residents and Fellows.

 

Associate Membership
If you are a clinician or clinician/researcher (non-M.D; non-D.O.; non-Ph.D.) in the field, you qualify for Associate Membership.

The dues are $85 per year, and associate members receive discounts on all ASCP meetings and products. Associate members are not eligible for office, committee participation or to vote.

 

To join as a Full or Associate Member, complete the online membership application below.   Fields marked with an asterisk (*) are required.

 

Important Note: You must have the following documents ready to upload to the system at the time of registration:

 

Full Member

  • If you are a licensed physician or clinician (in any specialty), the current copy of your current medical license.
  • If you hold other doctoral degrees and are an investigator of clinical psychopharmacology or pharmacology, a letter from your institution stating your employment in this area of research.
Associate Member
  • If you are a non-M.D., non-D.O., or non-Ph.D. clinician or clinician/researcher, a current license or letter from your institution or employer verifying employment.
Resident/Fellow
  • If you are a resident or fellow, a letter from your training director or department head verifying that you are in an approved psychiatric residency program.


Please indicate if you are a  
First Name: *
Last Name: *
Degree(s):  List up to three most recent degrees, date and University or Other Training Facility name:

Degree Year University or Other Training Facility
* * *


Board Certification (List Name of the Board and Date of Certification):


Name of the Board Year
Upload Medical/Clinician License, Letter from Institution/Employer or Letter from Training Director:

Use the form below to upload the document. Acceptable formats are .doc, .docx, .pdf.  Browse to select the document from your computer's hard drive. Do not modify the path.

E-Mail Address: *
 
Verify E-Mail Address: *
Website Address:
Mailing Address: 
Professional Title:
 
Department:
 
Institution:
 
Address 1: *
Address 2:
City: *
Country:
ZIP/Postal Code: *
State:
Phone: *
 
Directory Address: 
Check this box if Directory Address is same as Mailing Address
Professional Title (for web directory):
 
Department (for web directory):
 
Institution (for web directory):
 
Address 1: *
Address 2:
City: *
Country:
 
ZIP/Postal Code: *
 
State:
 
Phone: *
Do you consider yourself primarily (check all that apply): *
Specify Other:
Do you wish to be listed on the public "Find a Psychopharmacologist" portion of the Society's web site
(place your mouse here for explanation)? *
Please list below any affiliations, honors, memberships, etc. relevant to your membership to the society:

The American Society of Clinical Psychopharmacology has the following committees. The President of the ASCP appoints committees annually after the fall membership meeting. If you would like to be considered to serve on a committee, please indicate below and submit a brief statement indicating why you would like to serve on a particular committee and the time you have to devote to the committee:



Another benefit of ASCP membership is a free online subscription to The Journal of Clinical Psychiatry. When your ASCP membership is activated, you will receive notification from the Journal with an online user name and password.
Please list below areas of clinical psychopharmacology of particular interest to you and those areas in which you consider yourself to be particularly expert. Please describe your expertise and/or interests:

Please describe your practice/research/academic position in 15 words or less for the website directory:

Please list for us, in the space below, those things you would most like to see the society accomplish:

Login Information:
After registering, you will be able to use your email address to sign in. Please provide a password:

Password: *
   
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