Registration: Membership Application
Hawaii Academy of Physician Assistants (HAPA) Membership Application

Membership Categories
  • Fellow $50 PAs who are NCCPA certified and/or a graduate of a CAHEA or CAAHEP accredited PA program; a fellow shall live or be employed in Hawaii and must be a member of AAPA

  • Affilliate $50 Individuals who qualify for Fellow membership but elect not to be a member of the AAPA, are members of another constituent chapter, or are non-PAs--i.e. physicians, pharmaceutical industry

  • Military $25 Active duty military stationed in Hawaii

  • Student $10 Students in a CAAHEP accredited PA program

  • Required Information
    ( * = required field )
    First Name:  *    
    Last Name:  *    
    Organization:  
    Address:   *    
    City:   *    
    State:   *    
    Zip Code:   *    
    Email:  *    
    Confirm Email:  *    
    Phone:    *    

    Additional Information
    Select Membership Category (descriptions above):   *  
    Include personal information in HAPA directory:   Yes    No  
    Committees Interested In:   Public Relations  
      Conference / CME Planning  
      Fundraising  
      Newsletter  
      Legislative / Gov't Affairs  
     

    Link to your representatives: local state or federal

    If you would like to contact any of your elected representatives use this link capitol.hawaii.gov

    Contact Us

    PO Box 30355
    Honolulu, HI
    96820-0355

    Voicemail/FAX:
    888-PAS-HI40
    888-727-4440
    Email: HAPA
    Conference Info:
    email: Bob Null
    phone (808) 432-8334