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    What is a dermatologic surgeon?

    One of the most innovative and progressive medical subspecialties, these ASDS experts perform medically necessary and cosmetic treatment and procedures to improve skin health and beauty.

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    From aging skin to skin cancer...

    No one is more qualified to help than an ASDS member dermatologist. Each year, these skilled doctors perform 5 million cosmetic procedures and 2.6 million skin cancer treatments.

    Conditions
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    One American dies of melanoma almost every hour

    The good news: With early detection, melanoma has an almost 100 percent five-year survival rate. Schedule a free skin cancer screening today.

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    From crow's feet to spider veins...

    You'll look and feel your best when ASDS member dermatologists combine their training and expertise with the widest range of options available.

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In This Section

Apply for Membership

Application for Membership
* First Name:
Middle Name:
* Last Name:
* Birthdate:
* Gender:
* Category of Membership:


Contact Information
* Location:
* Practice Type:
* Practice or Institution Name:
* Address line 1:
Address line 2:
Address line 3:
* City:
* State or Province:
* Postal Code:
* Country:
* Telephone:
If outside US, include country/city codes
* Fax:
If outside US, include country/city codes
* Email Address:
Web Address:
Professional Information
* Medical School Insitution:

* Dermatology Residence Training Institution:
Certifications:
  
  
  
  
* Current Medical License?
 
* Hospital Privileges?


Privileges:


* Academic Affiliation?

* AAD Member?
* Office/Surgery Center Accredited?



Fees
Membership Annual Dues: $600 - Fellow, Corresponding Fellow, Associate, Osteopathic Associate, Adjunct, Trainee
Application Fee:
Charged upon submission
$95 - Application Fee
Payment Information
Total: $95.00
Card Type:
* First Name on Card:
* Last Name on Card:
* Credit Card Number:
* Expiration Date:
* Credit Card CVV Value:
What is this?

Application Requirements

Endorsement:

Letters of endorsement must be received from three (3) ASDS Fellows, one of whom must reside in your city, state or province.  Log on to asds.net to get a list of ASDS Fellows in your state and nationwide, and for a sample endorsement letter. If you are an AAD member or if you are applying for Corresponding Membership, only one letter of endorsement is required. When applying online, please send your endorsement letter(s) to hprostko@asds.net, fax to 847-956-0999 or mail to:

Helen Prostko
Member Services
ASDS
5550 Meadowbrook Drive, Suite 120
Rolling Meadows, IL 60008

Application Process:

The ASDS office will notify applicants when their application is complete. An application is complete only when the form, application fee and three valid endorsements letters have been received. If you are a member of AAD or a Corresponding Member Applicant, only one endorsement letter is required. Physicians in an approved Training Program must submit a signed letter documenting program involvement from their immediate supervisor. Upon completion of the application process, applicants will be able to register for meetings and purchase ASDS products at the member rate. Upon acceptance into membership, applicants will begin to receive Currents, the monthly member newsletter, as well as Dermatologic Surgery.

Summary of Membership Categories

Fellows:

Any physician in good standing who resides in the United States or Canada and who has been certified in dermatology by the American Board of Dermatology or by the Royal College of Physicians and Surgeons of Canada shall be eligible to be a Fellow. Fellows shall have the rights to attend membership meetings, to participate in discussion, to vote on matters submitted to a vote of the membership, to hold elective office and to serve on committees and councils.

Corresponding Fellows:

Any physician in good standing who does not reside in the United States or Canada and who is a teacher or researcher or has three years of experience specializing in the practice of dermatology shall be eligible to be a Corresponding Fellow. Educational and professional requirements for Corresponding Fellows shall be equivalent to the requirements for certification by the American Board of Dermatology. Corresponding Fellows shall have all rights of Fellows except that they shall not be eligible to serve in any elective office.

Associates:

Any physician in good standing who resides in the United States or Canada; has three (3) years of experience specializing in the practice of dermatology or is a teacher or graduate student of dermatology; and who meets or is pursuing the educational requirements for the certification examination in dermatology by the American Board of Dermatology or Royal College of Physicians and Surgeons of Canada shall be eligible to be an Associate. Associates shall have all of the rights of Fellows except that they shall not be eligible to serve in any elective office.

Osteopathic Affiliates:

Any osteopathic dermatologist in good standing who resides in the United States or Canada and who is board-certified by the American Osteopathic Board of Dermatology, or who has previously been an osteopathic dermatology member of ASDS in good standing shall be eligible to be an Osteopathic Affiliate. Osteopathic Affiliates shall have all of the rights of Fellows except they shall not be eligible to serve in any elective office.

Trainee:

Any physician in good standing who resides in the United States or Canada and who is in an approved fellowship training program shall be eligible to be a Trainee. Trainees shall have all of the rights of Fellows except that they shall not be eligible to vote or serve in any elective office.

Adjunct:

Any individual who works for a commercial firm, consultant or other organization that supplies products and/or services to the dermatology/dermatologic surgery market and who is not directly involved in patient care shall be eligible to be an Adjunct Member. Adjunct Members shall have the right to attend membership meetings and to serve on committees and councils, but shall not be eligible to vote or serve in any elective office. To become an Industry Advisory Council (IAC) Member, please contact the staff office at 847-956-0900. APPLICANTS FOR ADJUNCT MEMBERSHIP, PLEASE CONTACT HELEN PROSTKO AT 847-956-9140.  

For a full delineation of the duties, responsibilities and requirements for each category of membership, please review the ASDS Bylaws.

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