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Apply for Membership

Complete the Membership Application and return it to:

Florida Society of Plastic Surgeons, Inc.
6300 Sagewood Drive Suite H255
Park City, UT 84098
along with:

  1. Curriculum Vitae
  2. Current Photograph
  3. Application Fee of $100
    (current year dues will be billed upon election to Candidate Membership)
  4. A copy of all current Board Certifications
  5. A copy of your current valid active license to practice medicine in Florida
  6. A letter of verification of staff privileges from a local Florida hospital
  7. Verification of ASPS or ASAPS status

APPLICATION FORM

When your completed application is completed, your name will be circulated to the members of the society. After 60 days your membership will then be voted on by the Board of Directors. An affirmative vote will activate your Candidate Status in the Society.

If you have any questions or need any further information, please do not hesitate to contact us.