TPAS Membership Signup Form

  • Thank you for your interest in joining TPAS! 
Please complete the following application for membership consideration.
  • Facility/Organization Information

  • Member Information

  • CEO/Executive Director of Facility/Organization

  • Organization Contact

  • Please read the TPAS Code of Ethics

Sign up for TPAS Newsletter

* = required field

Contact Information

Treatment Professionals in Alumni Services
PO Box 93824
Phoenix, AZ 85020
(720) 443 2369


Your Cart