Psychiatrist Membership Application



*Returning Members: If you have previously been a member of AAGP within the last four years, please use the Renew form. Board approval of new membership takes 3-4 weeks.

AAGP Membership Application for Psychiatrists

Founded in 1978, the AAGP provides psychiatrists with a special interest in mental health care of the elderly exceptional professional benefits through educational, informational, and interactive programs. This application will be reviewed and voted upon by the AAGP Board of Directors.

All members should follow the AMA's Principles of Medical Ethics.

AAGP membership is based on the calendar year (January - December) and ends on December 31 of each year.


Psychiatrist Member Criteria

1. The applicant must have completed a residency in psychiatry approved by the AMA-ACGME or be certified by the American Board of Psychiatry and Neurology in psychiatry.
2. The applicant must have been or must be actively engaged in the practice of geriatric psychiatry.
3. The applicant must have a major professional interest in the mental health care of the elderly, or devote substantial professional time in connection with public mental health or mental health care delivery systems for the elderly.

*Notes: All prospective members (non-psychiatrist and psychiatrist members) are required to complete an application and will be accepted provided they meet the above criteria.


Member-in-Training Criteria
A physician who is enrolled in a residency in psychiatry or a fellowship in geriatric psychiatry that is affiliated with an accredited residency program. 

Retired Member Criteria
A psychiatrist who is (1) 65 years of age or older, (2) has been a Full Member for one year or more and (3) spends less than 15 hours/week in paid professional activities.

Benefits include an online-only subscription to the association's journal, the American Journal of Geriatric Psychiatry. Regular student membership is $50 per year. Student membership without access to the journal is $25 per year.


2019 U.S. and Canada Annual Dues
Psychiatrist Member: $345

Retired: $180
Member-in-Training for Residents & Fellows: $50
Medical and Graduates Students: $50
Medical and Graduates Students (no access to AJGP): $25

2019 International Annual Dues
Dues are based on World Bank resident country income group catogories:

HI and UMI Resident Country: $345
LMI Resident Country: $155
LI Resident Country: $95

AAGP dues are not deductible as a charitable contribution for tax purposes. However, they may be deductible as a business expense subject to restrictions imposed as a result of association lobbying activities. AAGP estimates the nondeductible portion of your dues to be 29%. 

General Information


First Name
Middle Name
Last Name
The following address is my
Mailing Address
Mailing Address Line 2
State (two letter postal abbrev., e.g. TX for Texas)
Work Phone
Home Phone
Cell Phone
Assistant Phone
Other Phone

AAGP needs your written consent to fax any AAGP product or service correspondence to you. If you agree to this consent, AAGP will not sell your fax number to third parties. Please note that you can revoke this consent at any time by alerting AAGP in writing.

I provide consent to AAGP

Membership Directory/Foundation Find-A-Doctor List

Your address as you want it posted on the Member Directory if different from above. Members who accept referrals will also be listed publicly on the Geriatric Mental Health Foundation's website.

Address 2
Do you accept referrals?

I am certified in psychiatry
I am certified in Geriatric Psychiatry
Residency Year
Medical Year
I received my medical degree at
Do you have a current medical license?
State/Country of License
Residency Training in Psychiatry Institution
Geriatric Psychiatry Fellowship Institution
Have you ever had your medical license revoked in any jurisdiction
If yes, where?
What year?
Please Explain

Professional Background
How did you initially hear about AAGP?
If an AAGP member referred you to AAGP, please list his/her name
Check organizations of which you are a member
How would you describe yourself and your work?
What is your primary place of employment?

Demographics (optional)
Filling out this section is optional; however, information provided by potential members enables AAGP to respond to inquiries primarily from our members about diversity in the field and membership.
Language spoken other than English

Check here if you agree with the following statement: I affirm that all information provided is correct to the best of my knowledge.
 All info is correct
Type your name to serve as your electronic signature
Any other information we need to know that did not fit on the application?

Membership Type

Select Membership Type

Login Information
Please create a user id and password below for our system. AAGP will activate your log-in account and send you an email. Once you receive the email you will be able to log in and access member-only pages and forms (for example, the Annual Meeting registration with member rates). AAGP will activate your log-in account within 2-3 business days and send you an email.
User ID