Membership – National Coalition on Mental Health and Aging

NCMHA is the leading voice for promoting mental and behavioral health of older Americans. National organizations with a compatible mission and state and local mental health and aging coalitions interested in membership should email: admin@ncmha.org.

National Coalition on Mental Health and Aging Membership Form

2026-2027 Membership

Please complete all the required fields below.

NCMHA Membership requires two simple steps:

Complete and submit the membership form.
After you submit it, you’ll be redirected to Zeffy to make your dues payment (if applicable).

The NCMHA welcome members from a wide range of organizations, agencies, and communities. Membership is available in two categories:

The NCMHA encourages you to choose the membership category that best fits you or your organization and become part of our growing network.

Individuals ($25 annually) and organizations ($100 annually) may join through dues-based membership

Federal and state government agencies and state and local mental health and aging/healthy aging coalitions are invited to join at no cost.

FOR INDIIDUALS
Section 1: ORGANIZATIONAL INFORMATION

Member Name

If you are an individual member, such as a consumer, advocate, or caregiver and do not have an affiliation, type in Individual Member above.

Address

City/Town

State

Zip Code

Website

Telephone

Section 2: PRIMARY CONTACT

Last Name

First Name

Title

Email Address

Section 3: SECONDARY CONTACT (Optional)

Last Name

First Name

Title

Email Address

Section 4: MEMBERSHIP DUES

After clicking SUBMIT below, you will be sent to Zeffy to complete your membership application where you can pay your dues. You will able to select your affiliation type and corresponding annual membership dues as outlined below*:

National behavioral health, aging, health care, professional or other type of organizational member - $100
Mental health, substance use disorder, health care, aging network, or other provider - $100
Individual member - $25
State or local mental health and aging coalition - no dues required
Federal, state, or local governmental agency - no dues required

For State and Local agencies and coalitions
Section 1: ORGANIZATIONAL INFORMATION

Member Name

If you are an individual member, such as a consumer, advocate, or caregiver and do not have an affiliation, type in Individual Member above.

Address

City/Town

State

Zip Code

Website

Telephone

Section 2: PRIMARY CONTACT

Last Name

First Name

Title

Email Address

Section 3: SECONDARY CONTACT (Optional)

Last Name

First Name

Title

Email Address