AAPOS - American Association for Pediatric Ophthalmology and Strabismus

American Association for Pediatric Ophthalmology and Strabismus

Affiliate 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.

Select a path to continue your application *

Path A

Ophthalmologist

Path B

PhD

Path C

Physician

Reset Path

Path A

To select a different path, click the Reset Path button to the right.

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


Signature

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

Reset Path

Path B

To select a different path, click the Reset Path button to the right.

Professional Information & References


Signature

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

Reset Path

Path C

To select a different path, click the Reset Path button to the right.

Medical License Information

Do you have a valid Medical License? *

Professional Information & References


Signature

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