Contact the Association for Medical Ethics with any questions, or to find out more about our organization. Click here to become a Member of the Association for Medical Ethics

To join the Association for Medical Ethics, please fill out the following membership application form.

I, Name: *  Last Name: * 
Title (MD, PhD, etc): *

do agree that I meet the following requirements and will follow the Association for Medical Ethics by-laws listed below:

1. I am a physician in good standing with the recognized medical board of my specialty.
Please fill in which organization you are a member of

2. To be an AFFILIATE MEMBER, I declare that  I am a either a registered physical or occupational therapist, nurse, physician’s assistant, or a physician in training and am  interested in supporting the principles of the Association.

3. I do not accept compensation, stock, stock options, royalties, or gifts in any form from any company for using any product in my practice or training.

4. I do not own any portion of a distributorship or the like for any products used in my practice or training.

5. I believe that violations of requirements 3 and 4 are unethical because they create an inherent conflict of interest that places financial gain over patient care.

Association for Medical Ethics Bylaws

1. To increase membership by notification and offer of membership to all legitimate and relevant medical academies, societies, and associations.

2. To include a record for public notice of those academies, associations, or societies to which invitation and introduction has been made, and to record for public notice the response, or lack thereof, to such invitation.

3. To advance the purpose of the Association as delineated in the Mission Statement.

DECLARATION: I declare under penalty of perjury that my membership information is true and correct to the best of my knowledge and belief. As to that information, I declare under penalty of perjury that the information accurately describes as well, any related information provided to me, and that I believe it to be true.

Dated this day of 2009, in the County of , State of .