Joining the Pennsylvania Asthma Partnership is as easy as completing one quick form. You’re automatically registered for upcoming PAP meetings, added to the membership email list, as well as the weekly Newsletter.

Please complete the form below. You may also email or call 717-971-1122 to reach the PAP Program Manager with any questions.

Contact Information

First Name *
Middle Initial
Last Name *
Address *
Apt/Suite/PO Box
City *
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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
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Other Medical Background

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
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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.