Membership Application

Membership Category

Qualified applicants must meet the following requirement: An individual member must be a rheumatology provider residing or practicing in Wisconsin (DO, MD, NP, PA, RN).

Applicant Information

Board Certification

Applicant Addresses

Office Address

Home Address

Payment Information (must be made in U.S. dollars)

  • Billing Information

If paying by check, make check payable to: Wisconsin Rheumatology Association

Mail payment to:
Wisconsin Rheumatology Association
Two Woodfield Lake
1100 E. Woodfield Road, Suite 350
Schaumburg, IL 60173

  • 715316