Advancing Naturopathic Medicine for Wisconsin

Advancing Naturopathic Medicine for Wisconsin

Join WNDA - New Graduate Membership

To join by mail:

Please fill out the Membership Application and send it to:

WNDA
P.O. Box 14434
Madison, WI 53708

Please enclose a copy of your license and diploma, and the $100 membership fee.

 


 

To join online:

Please fill out the form below, and click "Join Now" to be taken to PayPal. Fields with a red asterisk (*) are required.

Personal Information    
*  
*  
*  
*  
*  
*  
 
Cell:  
 



Practice Information    
 
 
 
 
 
 
Fax:  
*  
 



Educational Information    
 
 
 
 



Professional Information    
 
 
 
 
 

Are you a member of the AANP?


May we refer patients to you via the web and/or referral list?




License and Diploma

Please click the Browse buttons below to attach a copy of your license and diploma. These files can be in GIF, JPG or PDF format.

License:
Diploma: (not required for renewal)




New Graduate Membership fee: $100.00