AALNC Orange County California
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AALNC
Orange County Chapter
16835 Algonquin Street, #316
Huntington Beach, CA
92649-3858
(714) 502-8106
American Association of Legal Nurse Consultants
Orange County Chapter of AALNC
September 27, 2006 - Elder Abuse

 

Application & Renewal

 

** YOU MUST ALSO BE A MEMBER OF NATIONAL AALNC BEFORE JOINING THE LOCAL CHAPTER. Visit the  National Association web site at www.AALNC.org to apply for your National Membership.**

 

You are welcome to attend two meetings at the non-member rate as a guest to experience the value of becoming a member of our exciting, progressive and stimulating Chapter and then apply for membership before attending the third event.

 

WHAT ARE THE BENEFITS OF BECOMING A MEMBER OF
AALNC - ORANGE COUNTY CHAPTER?


Benefits of Membership:

  • Every other month educational meetings featuring attorneys, physicians and LNC speakers

  • Continuing education credit at each meeting

  • Every other month specialty discussion groups

  • Networking with other LNCs and related organizations

  • Multimedia Library

  • Access through National Chapter regarding issues and trends of LNCs throughout the United States

  • The Journal of Legal Nurse Consulting issued quarterly

  • Annual Local Conference covering current topics to advance your LNC practice at a discounted rate

  • Annual National Conference with discounted rates for members

  • Opportunities to hold Board Member positions to contribute to the growth and health of the Chapter

  • Opportunity to participate on Committees

  • Opportunity to interact with local, state-wide and out-of-state attorneys

 
**NATIONAL MEMBER ID# IS REQUIRED ON THE LOCAL APPLICATION**

Visit National at www.aalnc.org for National Membership Information
 

Application & Renewal

 

To apply for membership or renew your current membership, please submit the form below along with the appropriate membership category and payment.
 

Please Note: Membership Renewal ends March 1st. Please contact us if you haven’t received your renewal statement.

 

Personal Information

First Name:

Last Name:

Address 1:

Address 2:

City:

State:

Zip Code:

Home Phone:

Email:

 

 

Professional Information

Company/Firm Name:

 

Business Address 1:

Business Address 2:

City:

State:

Zip Code:

Business Phone:

Business Fax:

 

 

Additional Information

RN License #:

Expiration Date: (mm/dd/yyyy)

AALNC National ID #:

 

Areas of Clinical Expertise or Practice:

 

 

Litigation Specialties

Administrative Health Care
 Life Care Plan
 Medical Malpractice - Defense
 Medical Malpractice - Plaintiff
 Personal Injury - Defense
 Personal Injury - Plaintiff

Product Liability - Defense
 Product Liability - Plaintiff
 Rehabilitation
 Risk Management
 Work Compensation
 Other

Consulting Practice Setting

Expert Witness
 Hospital
 Independent Practice

Insurance Company
 Law Firm
 Other
   

Give a brief description of your Legal Nurse Consulting experience. If not applicable, then describe what you are interested in pursuing as an LNC.

   

Membership Category

Please check the appropriate box.
 

Active:

($56.00 first year's dues, then $50.00 annually)

A Registered Nurse maintaining an active license in the US or its territories, who is working in a consulting capacity in the legal field.

Associate:

($56.00 first year's dues, then $50.00 annually)

A Registered Nurse maintaining an active license in the US or its territories, who HAS NOT worked in a consulting capacity in the legal field during the previous 12 months.

Sustaining:

($56.00 first year's dues, then $50.00 annually)

An individual who practices law or any other individual within a business, organization or facility with an interest in the goals and activities of AALNC.
 

Membership Type

Please check the appropriate box.
 

New Member

Membership Renewal
   
 

Payment Methods

Please check the appropriate box.
 

PayPal

Mailing Payment

 

If Mailing Your Payment, Please Send Payment to:

 

AALNC-OC
16835 Algonquin Street, #316
Huntington Beach, CA 92649-3858



 



 
 
 
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