Applications for membership at various levels may be initiated with completion of the following form.
In addition to this form, the following documents must be submitted (electronic submission of these documents via email to email@example.com is preferred):
Candidate, Trainee, or RN/NP/PA Member – a current curriculum vitae
Active or Associate Member – Two letters of support from Active, Charter, or Emeritus Members and a current curriculum vitae
Emeritus Member – a letter requesting change in status from Active or Associate Member to Emeritus based upon age 65 years or older and retirement from the clinical practice of medicine
Please note: Prior to election as an Active or Associate Member, applicants must attend a meeting of the association and present a paper or actively participate in discussion.
For more information, contact: