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Become a Physician Member - Join the QSource Team Today!

QSource is a 501(c)(3) not-for-profit, physician-sponsored, healthcare quality improvement organization (QIO). As the federally contracted QIO serving Tennessee, the organization is dedicated to improving the quality of healthcare provided to Tennesseans through education and advocacy.

Physician Membership Criteria
If you are a physician holding a current and unrestricted license to practice medicine or osteopathy in Tennessee, and are actively engaged in the practice of medicine or osteopathy in Tennessee, you are eligible to become a physician member of QSource.

Membership Benefits

  • NO Membership Fees or Dues
  • Free bi-monthly newsletter
  • Eligible to serve on QSource Board of Directors
  • Eligible to Nominate and Vote for Members of QSource Board of Directors
  • Eligible to become a Physician Reviewer/Advisor and or Consultant

How to Join

It’s simple. Either fill out the application form below, or click here to download a form you can fax to Barbie Ford at 901.761.3786 or mail to our office at:

QSource
3175 Lenox Park Blvd., Ste 309
Memphis, TN, 38115
attn: Barbie Ford

Thank you for your interest in QSource
and
your commitment to improving healthcare in Tennessee!

Physician Membership Enrollment Form
(* denotes a required field)

*Name:

*TN License Number:
*Specialty:
*UPIN:
*Email Address:
OFFICE INFORMATION
*Practice/Office Name:
*Address:
*City:
*State:
*Zip Code:
*Phone:
*Fax:
HOME INFORMATION
Address:
City:
State:
Zip Code:
* At which address would you like to receive information? Home Office

 

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