Join Physicians' Alliance of America

Membership Form

All physicians in a practice are required to join, but only one membership form needs to be completed per practice. There is no membership fee.

Please be sure to fill in correct email addresses you check often, so you may receive your membership confirmation, login information, and important updates. Also, make sure to white-list info@physall.com to ensure you receive all of our important communications. If you are having technical difficulties, complete the PDF membership form and fax it to us at 770-446-9814.

 
Practice Information
 
Office Manager Information
 
Purchasing Contact Information
 
Managing Physician Information
 
Other Information
 
Products & Services