Joining the Pennsylvania Asthma Partnership is as easy as completing one quick form. Then you’re automatically registered for PAP conferences, added to the membership email list and can choose any workgroups you would like to become involved in.

Please complete the form below. You may also email or call 610-941-9595 ext. 415 to reach the PAP Program Manager with any questions.

Contact Information

First Name *
Middle Initial
Last Name *
Address *
Apt/Suite/PO Box
City *
State *
Zip Code *
Phone Number
Email Address *
Confirm Email Address *


Organization/Agency *
Job Title *

Background Information

Please fill out your background information to continue with the application.

Credentials *
Medical Background
Select All That Apply *
Other Medical Background

Workgroup Participation

The Partnership has developed workgroups whose purpose reflects our mission and both short and long term project goals. Please select one or more of the following workgroups that you would like to be actively involved with. Workgroups typically meet monthly or every other month.

Asthma Outreach and Education: Working to eliminate environmental impacts on asthma, and to optimize individuals' self-management of asthma through education in schools, homes, and workplaces.

Provider: Increasing healthcare provider use of evidence-based, national asthma treatment guidelines.

Public Policy: Changing public policy to improve asthma care.

PA Asthma Partnership Resources

The Partnership's most important resource is our members. All members are asked to provide any resources or information possible to help further the common overall missions, goals, and statewide asthma action plan. Please select all ways that you could contribute to the Partnership.

Other Resources
Special Access to Other Resources
Other Special Access to Other Resources
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American Lung Association PA
Pennsylvania Department of Health
Funding for this website has been provided by the Pennsylvania Department of Health
through a grant from the Centers for Disease Control and Prevention.