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Become a PHDSC Member

Consortium membership is open to any organization or individual interested in healthcare and population health information standardization.

Member Benefits
Membership Classes
Membership Categories

Membership Dues Schedule

Membership Class	Membership Category
Membership Class	Contributing Member Dues	General Member Dues
Federal Agencies	$10,000	$1,000
State and Local Government Agencies	$2,500	$1,000
Professional Membership Organizations (i.e., National Associations)	$2,500	$1,000
Other Professional Organizations (i.e., Regional Consortia, RHIOs) and Non-Profit Organizations	$2,500	$1,000
Academic Institutions	$2,500	$1,000
For-Profit Organizations with Annual Healthcare Revenues
over $25M	$25,000
over $10M - $25M	$10,000
over $5M - $10M	$5,000
over $2.5M - $5M	$2,500
under $2.5M	$1,000
Individual Members	$200

Membership Application

To join the Public Health Data Standards Consortium, please complete and submit the information requested below. Asterisk (*) denotes required field:

APPLICATION

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Additional information you want us to know about you or your organization:

Please indicate if you are interested in learning more about the following PHDSC Committees:

	Data Standards		Privacy Security & Data Sharing
	Health Care Services Data Reporting Guide		Nationwide Health Information Network
	Payer Typology		External Cause of Injury Codes
	Communication & Outreach		Professional Education Committee

MEMBERSHIP CLASSES, CATEGORIES, AND ANNUAL DUES SCHEDULE

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Annual Membership Dues Amount To Be Paid:

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Upon submitting this form, you are confirming that you understand that you are obligated to pay membership dues within 30 days of receipt of the invoice and that all dues are non-refundable. An invoice will be sent to you upon approval of your application.

Please make check payable to: PHDSC

Please mail check to:

Anna Orlova, PhD
PHDSC Executive Director
111 South Calvert Street Suite 2700
Baltimore, MD 21202
Phone: 410-385-5272
Fax: 866-637-6526
Email: aorlova@jhsph.edu