2023 VJH Medical Staff Dues Online Payment Form

Medical Professional's Full Name *

Email *

Membership Type *

Physicians – Active, Provisional – $200.00
Physicians – Associate, Locum, Consulting, Temporary – $100.00
Midwives, Nurse Practitioners, Dentists – $100.00

All VJH medical staff are required to pay annual medical dues which provide members a variety of services including representation through a physician’s Executive Board, CMEs and educational opportunities, social events, high school scholarships, and more.

Payment *

*CVC is The 3 digit number on the back of your card