AVANS Membership Application

AVANS Membership Application
The Association of VA Neurology Services (AVANS) is a NEW 501(c)3 organization providing educational, professional development, and networking opportunities to professionals serving Veterans with neurological care.

AVANS members include neurologists, nurses, physician assistants, nurse practitioners, pharmacists, administrators, and other clinicians dedicated to providing neurological services in the VA healthcare system and beyond.
First Name*
Last Name*
Designation (MD, RN, etc)*
Institution*
Address*
City*
State*
Zip*
Cell Phone*
Email*
Specialty*

N/AAlzheimer'sALSAtaxiaBrain & Spinal Cord TumorsCerebral AneurysmEpilepsy and SeizuresGeneral NeurologyMigraine/Headache DisordersMovement DisordersMultiple SclerosisNeuromuscular DisordersParkinson'sRare neurologic disordersSleep DisordersStrokeOther
Bio*
Tell us a little about yourself
Membership to AVANS is currently FREE. I understand there may be dues in the future and will opt to sign up again at such time.

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