Membership: Individual

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This section will help us know our progress in reaching out to providers and other members who reflect the broad array of people/communities who are impacted by perinatal mental health. We will also share the information internally, such as with PSI’s Alliance for People of Color to strengthen/prioritize outreach, and potentially with our Support Coordinators so they can better help parents connect to providers. Demographics statistics may also be used in aggregate, such as for grant applications.

(We acknowledge the awkwardness/artificialness of demographics categories, and that these categories are U.S.-centric to this specific time. You are more than the boxes you check.)

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Professional 1 Year

Professional 2 Year

Professional 10 Year

Community Champion 1 Year

Community Champion 2 Year

Friend of PSI 1 Year

Friend of PSI 2 Year

Student

I would like to automatically renew my membership

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Prefix

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Job Title

Email *

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Address Line 2

City *

Region (outside US/Canada)

State/Province (U.S. and Canada)

Zip/Postal Code *

Country *

PSI Alliance for People of Color

I would like to join the Alliance for POC [Me gustaría unirme a la Alliance]

For members who identify as Black, Indigenous, or a Person of Color. You'll receive a confirmation email overnight; no additional action is needed to join the Alliance.

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Leave blank if not in a health/mental health occupation

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Include a submember

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I would like to automatically renew my membership

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Please mail your payment to:
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Individual Membership

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