CHMS Membership Application

CHMS Membership Application

The California Homeopathic Medical Society
A non-profit organization dedicated to Homeopathic Medicine
Please complete this online form to begin your application for CHMS membership. When you reach the end of the form and click "Submit Application", your information will be automatically transmitted to us.

Please wait until you receive email notification from us before proceeding with payment.

Payment via our online system is preferred, or you may make special arrangements to pay by check.
Membership Categories

Licensed Practitioner Membership ($100 annually)
Available to all licensed health professionals. The applicant should also have completed an approved introductory course in homeopathy or plan to attend one in the future.

Professional Homeopath Active Membership ($50 annually)
Available to non-licensed professional homeopaths who are legally allowed to practice in California. Active members are able to hold office and vote.

Supporting Membership ($50 annually)
Open to all individuals whose professional activities involve a specialized contribution to homeopathic medicine, or those who are interested in furthering the advancement of homeopathic medicine. They do not hold office or have voting privileges but receive all other membership benefits.

Retired Membership ($50 annually)
Open to active and affiliate members who no longer actively practice their profession.

Student Membership (Free)
Available to persons enrolled full-time in an accredited college or university program leading to qualification for active or affiliate membership.

Sustaining Membership ($360 annually)
Open to all organizations, companies, and individual who want to contribute substantially to the Society. They do not hold office or have voting privileges but receive all other membership benefits plus two complimentary tickets to one of the Society's educational conferences.

Name*

First NameLast Name
Degree/Title
E-mail
Business/Office Phone

Area CodePhone Number
Other Phone

Area CodePhone Number
Website
Please send mail to

ResidenceOffice
Office Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Residence Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Education
Name & Address of School
Dates Attended
Degree(s)
Current Professional Society Memberships
I am licensed to Practice
In the state of
License Number
OR
Council for Homeopathic Certification (CHC) number
I am applying for*

Licensed Practitioner MembershipProfessional Homeopath Active MembershipSupporting MembershipRetired MembershipStudent MembershipSustaining Membership
The CHMS provides an online Membership Directory as a service to our members and the public (view here). If your membership is approved, you will be provided with the opportunity to add your information to the Directory.
If approved, may we provide you with the tools to add your information to the Membership Directory?*

Yes, I'd like to add my info to the Directory.No thanks.Not sure yet.
Professional References
Curriculum Vitae required for active and affiliate membership.
Should be Empty:

Membership Categories