New Member Sign Up

EIN membership is a benefit of IDSA or PIDS membership; no additional dues are required.

EIN Membership Requirements
You must:

  1. be an infectious diseases physician
  2. see patients on a regular basis
  3. be willing to complete periodic brief surveys
  4. be an IDSA or PIDS member

If you have questions about the EIN, you may contact the Program Coordinator, Susan Beekmann, RN, MPH at ein@uiowa.edu.

Please complete the form below to join the EIN. The Program Coordinator will contact you shortly with membership materials.

First Name
Middle Initial
Last Name
Degrees
ID Training Status

Year Finished ID Training
Enter expected year if currently in training
   
Hospital Type





Institution/Practice Name*
Patients Seen

   
Primary Work Address  
Work Address Line 1
Work Address Line 2
Work City*
State*
ZIP*
Country
   
Email*
   
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