Patients Alliance Membership Application

Step 1: Complete the Membership Application form for the year 2021


Step 2: Upload supporting documents

Please click on the link below to login to IndoUSrare Google Forms and upload your supporting documents 

Next Steps

Step 3

IndoUSrare Review

IndoUSrare membership committee will review the package and confirm eligibility and completion of membership materials

Step 4

Online Fee payment

After confirmation by the IndoUSrare team, the applicant makes online payment of membership fees (Annual fees $50 for the year 2021) via PayPal or credit card.  

Step 5

Welcome package!

You will receive an official welcome package from IndoUSrare as a patient alliance member.