Membership Application

January - December 2009

Annual Membership Dues are $25.00. Please make checks payable to Nevada Association Medical Staff Services. Complete the form below and mail application and fee a $25.00 annual membership fee to: TREASURER Mary Vosburg, CCS, CPMSM *Supervisor, HIM/MSS* Medical District Surgery Center 2020 Goldring Avenue #300 Las Vegas, NV 89106 Phone: 702.477.7000 Fax: 702.853.1281 Email: mvosburg@mdsurgerylv.com
*Nevada Association Medical Staff Services Membership Interest Form*
Name (Last, First ):
Certification (if applicable):
Employer/Title:
Business Address:
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Business Phone:
Business Fax:
Business Email:
Home Address:
Home Zip/Postal Code :
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Home Email:
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The Nevada Association Medical Staff Services (NvAMSS) recruits its own membership and dues independently from the National Association of Medical Staff Services (NAMSS). You cant contact NAMSS through our link. nvamss edit mini21.jpg