AAPOS - American Association for Pediatric Ophthalmology and Strabismus

American Association for Pediatric Ophthalmology and Strabismus

Active Membership Application

Applications are approved yearly at the AAPOS Annual Meeting.

Candidates for membership as Active, Associate, Affiliate, International, and Orthoptist members are approved yearly at the Business Meeting of the AAPOS Annual Meeting. New member letters are sent out 1-2 weeks following the Annual Meeting.

Please note that applicants are required to provide complete and accurate professional information and are responsible for obtaining references and verifications for credentials, licenses, certifications and educational requirements.

Personal Information

PLEASE NOTE: An acknowledgement of the application will be sent by email to this address. This entry must be accurate; otherwise, no acknowledgement will be received.

Primary Office Address

Please include area code / country code.

Medical License Information

Do you have a valid Medical License? *

Professional Affiliation

You MUST be certified by one of these organizations. Please select your professional certification. *

You must be in good standing as a fellow or member of one of the following. Please select your membership. *

Professional Information & References

Fellowship Training Requirements. Please select your fellowship training: *

Was this position under the direction of an AAPOS/AUPO approved program?

Full AAPOS Member reference other than Fellowship Director


Percentage of practice related to pediatric ophthalmology and/or strabismus:

Signature

You will have the opportunity to review and edit your form entries.