Membership Application For Oregon Medical Students

Thank you for your interest in the Oregon Medical Association! Our medical student membership is open to medical students enrolled at either OHSU or COMP-Northwest.

Benefits of membership include:

  • Medicine in Oregon quarterly magazine
  • STAT monthly newsletter and timely e-mail updates
  • Opportunities to help shape health care policy in Oregon
  • OMA Online – OMA’s official website
  • Networking opportunities with residents and physicians in practice
  • Opportunities to serve on OMA committees

(Last, First, Middle Initial)

(Where you want to receive mail)

(if known)

(if applicable)


AMA Member Dues Payment
(Only if you are also applying for AMA membership)

Please make check payable to Oregon Medical Association and mail to 11740 SW 68th Parkway, Suite 100, Portland, OR 97223

Tax deduction information: Medical association dues (except for specific governmental affairs expenses) may be deductible as professional or business expenses, to the extent allowable by law. The AMA Membership Kit will contain information regarding this issue. Dues and other contributions to the AMA are not deductible as charitable contributions for federal income tax purposes. The Membership Group, American Medical Association, 515 N State St., Chicago, IL 60610.


AGREEMENT

I hereby apply for membership in the above indicated and agree to abide by the bylaws and policies and the Principles of Medical Ethics of the above mentioned medical associations. I authorize the organizations mentioned above and their affiliates to communicate member benefit information by e-mail and facsimile.

OTHER

If you have any questions, call OMA at (503) 619-8000 or send an e-mail to oma@theOMA.org.

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