Join or Renew: Professional Membership If you are having trouble viewing the form below click here. For those of you joining the IOCDF as a Professional Member for the first time — welcome, we're so glad to have you join our community! For those of you renewing your membership, thank you for your continued support. Professional Membership includes either a hardcopy print (mailed via USPS) or digital (link sent via email) subscription to the quarterly OCD Newsletter (along with access to the online OCD Newsletter Archive). View a full list of Professional Member benefits here. Is this a new membership purchase or a renewal?New MemberRenewal Would you like to receive a print or digital version of our quarterly OCD Newsletter?PrintDigital SalutationPlease select... Dr. Mr. Mrs. Ms. Prof. Mx. First Name Last Name Credential(s) Address Line 1 Address Line 2 City CountryPlease select... Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos ( Keeling ) Islands Colombia Comoros Congo Cook Islands Costa Rica Côte d ' Ivoire Croatia ( Hrvatska ) Cuba Cyprus Czech Republic Congo ( DRC ) Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands ( Islas Malvinas ) Faroe Islands Fiji Islands Finland France French Guiana French Polynesia French Southern and Antarctic Lands Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong SAR Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Samoa San Marino São Tomé and Prìncipe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka St. Helena St. Kitts and Nevis St. Lucia St. Pierre and Miquelon St. Vincent and the Grenadines Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Viet Nam Virgin Islands ( British ) Virgin Islands Wallis and Futuna Yemen Zambia Zimbabwe StatePlease select... AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Puerto Rico DC Guam US Virgin Islands American Samoa Northern Mariana Islands ProvincesPlease select... Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon State/Province Postal Code Email Address Email Address TypePersonalWork Email The email submitted above is used for internal purposes only. For security, do not submit a "role-based email address" that represents multiple recipients. Role-based email addresses have generic prefixes that do not identify a specific person (e.g. info@, admin@, mail@, etc.). These may be used on public facing Resource Directory listings but an address specific to the member must be used for internal communications. Phone Number Birth Date Professional License Information Upload a copy of your most recent professional license If you do not have a digital copy of your license, please take a photo or scan it and upload it here. Accepted file types: JPG, PNG, PDF, DOC, DOCX, TIFF License State (if outside United States, please select "Non US License")Please select... AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Non US License License TypePlease select... Psychologist Physician Social Worker Counselor Psychiatric Nurse Marriage & Family Therapist License Number License Expiration Date Demographic Information Your response to these questions will help the IOCDF in the creation of future program opportunities as well as provide more specific demographic information about our diverse OCD community. How would you describe your race/ethnicity?American Indian/Native American, Indigenous, Alaska Native, or First NationsMiddle Eastern or North AfricanAsianBlackHispanic or Latin@/xMultiracial or BiracialNative Hawaiian or Pacific IslanderWhiteNot ListedPrefer not to Answer How would you best describe yourself?Individual with OCD or related disorderParent/GuardianSiblingOther relativeSpouse/partnerFriend/SupporterMental health professionalStudent/traineeResearcherOtherPrefer not to answer Is your billing address different than your shipping address?YesNo Billing Address First Name Last Name Address Line 1 Address Line 2 City State/Province Postal Code Discount Code Hide Payment Info?YesNo Hide Recurring Info?YesNo Hide Donation Info?YesNo Field Hider Function Additional DonationAt the IOCDF, we are committed to keeping membership dues affordable, making membership available to those who need our help the most. We rely heavily on the generosity of our donors to fund the many programs and research projects provided by the Foundation. If you find yourself in a position to make a charitable contribution beyond your membership renewal, we respectfully ask that you consider making a gift to the IOCDF. Yes! I would like to make an additional donation to the IOCDF Annual Fund Yes Donation Amount (USD) Set up a yearly auto-renew and never miss a benefit! By setting up an auto-renew, the IOCDF will automatically charge the credit card submitted above a year from the date of purchase (today) for next year's Professional Membership. It's easy and hassle-free. Would you like to set up auto-renew and have this membership charge recur yearly?YesNo Payment Information Name on Card Card Number MM YY Code You will be charged: $ Terms and ConditionsProfessional Membership with the International OCD Foundation (IOCDF), and the associated benefits detailed above, is available to all independently licensed clinicians who pay a yearly membership fee of $150 who are interested in joining a community of professionals who treat OCD and related disorders. Professional Membership with the IOCDF is not an accreditation or certification in any way and does not imply a recommendation from the IOCDF. Membership fees allow access to the membership benefits described above. The IOCDF name and logo may be used on professional member websites, emails, or other marketing collateral only when demonstrating membership with the IOCDF and/or sharing the IOCDF website and programs as resources without any additional language and must always link to the IOCDF website (www.IOCDF.org). The IOCDF name and logo may not be used to market the services of the provider or imply any accreditation or endorsement by the IOCDF. Violation of these policies will result in suspension or termination of member status. By purchasing a Professional Membership, you are opting in to receive email updates from the IOCDF including but not limited to upcoming trainings, events, new programming, and support opportunities. Check here to indicate that you have read and agree to the Terms & Conditions above.I agree to the above terms and conditions and authorize the International OCD Foundation (charge will appear as from "IOCDF" on my credit card statement) to charge the above amount to my credit card. reCAPTCHA helps prevent automated form spam. The submit button will be disabled until you complete the CAPTCHA. Contact Information
