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Florida Society of Ophthalmology

Join the FSO

Please choose either:
Active Membership ($850.00)
In Training Membership ($0.00)
OR New Practitioner ($850.00/3yr) Must apply in Print

Active Members must meet the following criteria: degreed MD or DO from an accredited medical school, certified or eligible for certification by the American Board of Ophthalmology, and whose practices are limited to Ophthalmology. Payment must accompany application.

New Practitioner Available to new ophthalmologists in the first 3 years of practice. You must apply for New Practitioner Membership within one year of completing your residency or fellowship, and a dated copy of your residency or fellowship certificate must accompany your application. You must submit this type of application in print (download here).You may pay $850 with your application to cover the 3-year New Practitioner period, or pay $285 with your application and agree to be billed annually for the next two installments. After your New Practitioner period is over, you will be billed for Active Membership.

In-Training Members must meet the following criteria: degreed MD or DO who is serving in a recognized AMA/AOA approved ophthalmology residency training program or fellowship program (documentation must accompany this application).

Prefer not to pay or apply online? You can download a printable membership application here.

Name (First, MI, Last)
Title
Gender
Medical License #
Date of Birth
Office Address
City State Zip
Phone Fax
Home Address
City St Zip
Phone Fax
Send Mail to:
E-mail

Are you a member in good standing of the Florida Medical Association? If no, please explain.
Yes No
If no, please explain:

Certified American Board of Ophthalmology Date:
If married, spouse's first name
If married, spouse's last name
Recommending Member

Payment Information

Membership Dues $850.00
Select Payment Options
Payment Method
Name on Card:
Card Number:
Card Expiration Date(mm/yy):

I attest that the foregoing information is true and correct to the best of my knowledge and hereby authorize the Florida Society of Ophthalmology to obtain educational transcripts and verification of professional activities including associations and employment.

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