Member Application

Join the Society
Shape the Field

The SAUCM Fellowship is an independent advanced educational program focused on urgent care clinical excellence, leadership development, quality improvement, digital health, and academic scholarship.

Founding Member Rate Closes Dec 31, 2026 Physicians & APPs Welcome
0 of 12 required
0%
✓

Application submitted!

Thank you for joining SAUCM™. Check your email to verify your address — you'll receive a confirmation and payment link once verified. Welcome to the Society.

Return to SAUCM™
👤
Personal Information
Legal name, credentials, and contact details
🏥
Clinical Role & Affiliation
Your primary practice position and institution
🔬
Academic & Research Interests
How you engage with urgent care scholarship

Optional — links your scholarly profile to your membership record.

⭐
Membership Tier
Select your annual founding member rate — locked for 3 years

Founding member rates are locked for 3 years. You'll be redirected to secure payment after submission.

🎓
Leadership & Additional Information
Optional — indicate committee interest and share more context

By submitting, you agree to SAUCM™'s privacy policy.
After email verification you'll be redirected to secure Stripe payment. Applications are reviewed within 5–7 business days.

10+
Individual member seats included per institutional tier
$0
Annual meeting registration for your primary delegate
∞
Annals journal access for all affiliated providers
✓

Application submitted!

Thank you for applying on behalf of your institution. Check your email to verify your address — a confirmation with payment link will follow within 24 hours.

Return to SAUCM™
🏛️
Institution Information
Legal name, type, location, and accreditation status
👤
Primary Contact
Main institutional liaison — must be faculty or senior staff
Primary Delegate

Optional — add a department administrator or co-applicant as a secondary contact.

🏥
Urgent Care Program Details
Scope, scale, and structure of your institution's urgent care activities

Optional — helps SAUCM™ tailor informatics resources to member institutions.

🔬
Research & Academic Focus
Scholarly priorities and how your institution will engage with SAUCM™
🎓
Faculty & Leadership Nominations
Name faculty interested in SAUCM™ committees, editorial board, or governance

All nominated faculty will receive complimentary individual membership invitations.

⭐
Organizational Membership Tier
Annual founding institution rate — locked for 3 years from activation

Founding rates locked for 3 years. You'll be redirected to secure Stripe payment after submission.

📋
Additional Information
Supporting context and logistics for your institutional application

By submitting, you confirm you are authorized to apply on behalf of your institution and agree to SAUCM™'s privacy policy.
After email verification you'll be redirected to secure Stripe payment. No payment collected until after approval.