AAOMS Application for Membership

Authorization for Release of Information and Waiver of Liability

By applying for fellowship or membership to the American Association of Oral and Maxillofacial Surgeons (hereafter referred to as the "Association"), I agree to the following conditions during the processing and consideration of my application, regardless of whether or not I am elected to fellowship or membership:

  1. Authorization for Release of Information to the Association by Third Parties

    By submitting this application, I authorize the release of otherwise confidential information to the Association and its authorized representatives by sources such as official licensing or regulatory agencies, professional associations, hospitals or other health care organizations, educational institutions, or other relavant sources.

  2. Waiver of Liability

    I extend immunity to, and release from any liability, the Association and its authorized representatives, for any acts, communications, or decisions regarding the processing, consideration, and maintenance of my membership application and file.

  3. Acknowledgement of Association Governing Rules and Regulations

    I acknowledge that my membership status in the Association is based on the Association's Governing Rules and Regulations. I agree to abide by the provisions of the Governing Rules and Regulations and I recognize that the Association has the right to limit or terminate my membership status under the Association's Constitution, Bylaws, Policies or Code of Professional Conduct.

Select "Fellow/Member" or "Affiliate Member" Below

Fellow/Member — This membership category is available to individuals who have completed an American Dental Association (ADA) Commission on Dental Accreditation (CODA) accredited training program in oral and maxillofacial surgery in the United States or Canada and who are currently practicing in the United States.

Affiliate Member — This membership category is available to those individuals who are residing and practicing (or engaged in an administrative or research position) in a country outside the United States, and where applicable, are recognized as an Oral and Maxillofacial Surgeon by the country's appropriate agencies.