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  • Membership Form

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    Raymunda Recto Moreno
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    This document is a membership application form for a naturopathic association. It requests information such as name, address, education background, and contact details. It also lists 5 membership categories - regular member, naturopathic associate, medical professional, medical allied, and honorary member. Regular, medical professional, and medical allied members are allowed to vote and be elected as officers, while honorary members cannot vote or be elected as officers. Applicants must sign and be approved by their local chapter president and the national president to complete the application.

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    699344_fb1ec4a34e554cba9fc327750ef684de Membership Form

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    This document is a membership application form for a naturopathic association. It requests information such as name, address, education background, and contact details. It also lists 5 membership categories - regular member, naturopathic associate, medical professional, medical allied, and honorary member. Regular, medical professional, and medical allied members are allowed to vote and be elected as officers, while honorary members cannot vote or be elected as officers. Applicants must sign and be approved by their local chapter president and the national president to complete the application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    117 views2 pages

    Membership Form

    Uploaded by

    Raymunda Recto Moreno
    This document is a membership application form for a naturopathic association. It requests information such as name, address, education background, and contact details. It also lists 5 membership categories - regular member, naturopathic associate, medical professional, medical allied, and honorary member. Regular, medical professional, and medical allied members are allowed to vote and be elected as officers, while honorary members cannot vote or be elected as officers. Applicants must sign and be approved by their local chapter president and the national president to complete the application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

     

     
     

     
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         Picture 
    MEMB
    BERSHIP APPLICATI
    A ION FORM
    M

    Membersship Category Regular Natu


    uropathic Assso. MD Med Allied Hono
    orary

    Name

    Address

    Age Gender
    G Male Fe
    emale Civil Status Single Married

    Citizensh
    hip Con
    ntact Nos. E-ma
    ail

    P
    PROFESSIO
    ONAL INFOR
    RMATION

    College Degree
    D

    School / University Yea


    ar Graduated
    d

    Master’s Degree

    School / University Yea


    ar Graduated
    d

    Doctorate
    e Degree

    School / University Yea


    ar Graduated
    d

    ALTERNAT
    TIVE MEDIC
    CINE / NATU
    UROPATHIC
    C EDUCATIO
    ON BACKGROUND

    Trraining Cours
    se Training
    g Institution Ye
    ear

    MEMBERS
    SHIP ID NO: ___________
    ___________
    _____

     
     
    MEMBERSHIP CATEGORIES

    1. Regular Member - a regular member must be a doctor of naturopathy, or holding any


    doctorate degree of any branch in alternative and natural healing art. Members on this
    category are allowed to vote or be elected as officer.

    2. Naturopathic Associate- A naturopathic practitioner with formal training in the Philippines,


    certified homeopaths, herbalists, DOH license massage therapist (LMT), certified
    acupuncturist, are also welcome.

    3. Medical Professionals- must be a doctor of medicine (MD), practicing complimentary and


    integrative medicine. Members on this category are allowed to vote or be elected as officer.

    4. Medical Allied- nurses, nutritionists, physical therapists, occupational therapists, medical


    technologists, pharmacists, dentists, psycologists, and others are welcome. Members on
    this category are allowed to vote or be elected as officer.

    5. Honorary Member- Academically unqualified but practicing alternative or traditional


    medicine is also welcome as honorary member. They are the hilot, albularyo, massage
    therapist who have no DOH license, and those who have intense passion in practicing
    natural medicine with no formal training and education. The honorary members can be
    upgraded to a regular membership after securing proper training and certification. Members
    on this category are not allowed to vote or be elected as officer.

    Member’s Signature: __________________________ Chapter: ___________________

    Submitted By: Approved By:

    ___________________________ _________________________

    PNA Chapter President PNA National President

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