Become an SMI International Member 

For the past several years, SMI's International Street Medicine Symposia have been attended by individuals from over 80 countries around the world. Wishing to continue to foster and celebrate the expertise and diversity contributed by all of you to the street medicine movement, the Street Medicine Institute, with guidance from worldwide partners and board members, offers an international membership for citizens of countries other than the United States based on the published Cost of Living Index (COLI) data. We are implementing this adjustment in recognition of the importance of remaining an inclusive community where we can all learn, share ideas, and innovate together. 

If you are a person with lived experience of homelessness, we ask that you select the membership category that represents your recent highest level of professional achievements. The PWLE category is right for you if you have experienced homelessness in the past five years and you are not currently in a professional role. 

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International membership categories include three groups, organized by country and the COLI for that country: 

  • Physicians/administrators and other healthcare professionals who are citizens of Group A countries are offered a 40% discount on  SMI's standard membership. (See dues categories)
  • Physicians/administrators and other healthcare professionals who are citizens of Group B countries receive a 60% discount on SMI's standard membership. (See dues categories)
  • All citizens of Group C countries are free.  

We understand that COLI varies over time; if you believe your country is more appropriately placed in a different group, please email us at [email protected] so that your concerns can be considered. Free membership for persons with lived experience remains our standard regardless of where you live throughout the world.

Dues Categories Based Upon Occupation and Income 

SMI Dues Categories

Primary Groups Based Upon Each Country's COLI 

International Group A


Angola Austria Bahamas Bahrain Barbados Belgium
Bermuda Bhutan Canada Cyprus Denmark Finland France
Germany Grenada Iceland Ireland Italy Israel Japan
Lebanon Libya Liechtenstein Luxembourg Macao Marshall Islands Nauru
Netherland New Zealand Norway Palau Puerto Rico Qatar Saint Kitts and Nevis
Saint Lucia Saint Vincent & the Grenadines
Seychelles Singapore Solomon Islands South Korea Switzerland
Sweden Taiwan Turkmenistan Tuvalu United Kingdom United Arab Emirates

International Group B


Antigua and Barbuda Belize Brunei Cambodia Capo Verde Chile
Costa Rica Cote D'Ivoire Croatia Cuba Czech Republic Dominica El Salvador
Estonia Ethiopia Fiji Gambia Greece Guatamala Guyana
Jamaica Jordan Kiribati Kuwait Laos Latvia Lithuania
Maldives Mali Mauritius Micronesia Monaco Nicaragua Oman
Palestine Panama
Papua New Guinea Portugal Samoa San Marino Saudi Arabia
Slovakia Slovenia Spain Suriname Thailand Timor-Leste Trinidad and Tobago
Uruguay Vanuatu Zimbabwe

International Group C (Free)


Albania Algeria Angola Argentina Armenia Azerbaijan
Bangladesh Belarus Benin Bolivia Bosnia and Herzegovina Botswana Brazil
Bulgaria Burkina Faso Burundi Cameroon Central Africa Republic Chad China
Columbia Comoros Democratic Republic of the Congo Dijibouti Dominican Republic Ecuador Egypt
Equatorial New Guinea Eritrea Eswatini Gabon Georgia Ghana Guinea
Guinea-Bissau Haiti
Honduras Hungary India Indonesia Iran
Iraq Kazakhstan Kenya Kosovo Kryrgyzstan Liberia Madagascar
Malawi Malaysia Mauritania Malawi Malaysia Mauritania Mexico
Moldova Mongolia Montenegro Morocco Mozambique Myanmar Namibia
Nepal Niger Nigeria North Korea North Macedonia Pakistan Paraguay
Peru Phillipines Poland Romaina Russia Rwanda São Tomé and Príncipe
Senegal Serbia Sierra Leone Somalia South Africa South Sudan Sri Lanka
Sudan Syria Tajikistan Tanzania Togo Tonga Tunisia
Turkey Uganda Ukraine Uzbekistan Venezuela Vietnam