Membership Checkout

Membership Information

You have selected the Diagnostic Lab / Imaging Center membership level.

X-rays, ultrasounds, MRIs, medical testing labs ✔ Annual Renewal: $2500 ✔ Official UPSHPA Accreditation Certificate (Valid for 3 years) ✔ Priority Listing in UPSHPA’s Directory of Accredited Facilities ✔ Exclusive Access to Private Healthcare Training & Resources ✔ Legal & Compliance Protection as an Independent Medical Provider ✔ Ability to Set Private Fees & Operate Outside of Government Insurance 📌 Learn More About UPSHPA Accreditation Benefits [Here.]

The price for membership is $4,500.00 now and then $2,500.00 per Year.

Account Information

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1. Personal Information

First Name

Middle Name

Last Name

Date of birth

Gender

Phone

2. Professional Credentials & License Details

Profession Type

Specialization

Medical License Number

Issuing Licensing Body

Years of Experience

ex: 15 years

Medical Degree & Institution

ex: University/School Name, Country, Year of Graduation

Hospital/Clinic Affiliation

Current place of practice, if any

3. Practice Information

Primary Work Location

Hospital, Private Practice, Telemedicine, etc.

Province of Practice

License Status

Willing to Offer Telemedicine Services?

Yes

4. UPSHPA Membership & Accreditation Options

Would you like to be listed in the UPSHPA Public Directory?

Yes

Do you need assistance with professional liability insurance?

Yes

5. Legal & Agreement Sections

I agree to the following

Acknowledgment of UPSHPA’s Ethical and Professional Standards
I have read and agree to the Terms and Conditions
Consent to Data Collection and Privacy Policy
Declaration that Submitted Information is Accurate

6. Additional Information (Optional)

Are you interested in serving on UPSHPA committees?

Yes

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