Contact: Chapter President Tim Kirkham



Membership Application

Please download Membership Application Form (pdf Format).

Membership dues are $10 per year. Please make checks payable to HHPS or to Hoosier HPS. Mail completed form with payment to:

Secretary/Treasurer:
Matt Hadden
Richard L. Raudebush VA Medical Center
1481 W 10th St
Attn: Matt Hadden, Room C-2178 (001RSO)
Indianapolis, IN 46202

Affiliate Membership

Please download Affiliate Membership Application Form (pdf Format, see page 2 of 2).

For an additional annual fee, vendor representatives may attain Affiliate membership with the Hoosier Chapter which allows for booth/merchandise setup at select Hoosier Chapter meetings, and designation as a chapter sponsor on this website.