Become a Member

AMOS members benefit from networking with colleagues from across the world, gaining insight into new science and techniques, as well as from successes and failures of their colleagues in case management.

Member Benefits Include:
• Membership list on website for referrals and networking
• Access to online publications, video conferences, case profiles, and instructional videos
• Attendance to highly specialized courses in peripheral nerve, muscle flaps, microsurgical limb reconstruction
• Discounts to AMOS hosted courses

If you are interested in becoming a member of AMOS, please fill the form below or Contact Us Here

Membership Application

* Indicates required field

Title *

Name *

First

Last

Practice Name *

Hospital Affiliation(s) *

Hospital Department *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Website *

Please provide delineation of Hospital Privileges in Peripheral Nerve and/or External Fixation *

Please provide detail of experience in peripheral nerve, external fixation and muscle
flap cases (no of cases in last 24 months, types of cases, and any other relevant detail.
(*We will take into consideration the various factors, case load, fellow of AENS/ACFAS, etc.)

No. of Peripheral Nerve Cases *

Type of Peripheral Nerve Cases *

No. of Muscle Flap Cases *

Type of Muscle Flap Cases *

Please describe any other special skills or interests that you may have *

CV *

Max file size: 20MB

Current Medical License *

Max file size: 20MB

Photo ID (Driver’s license or other) *

Max file size: 20MB

Letter of recommendation from current AMOS member *

Max file size: 20MB

Acknowledgment *

I acknowledge and agree to the membership terms of the American Microsurgical Orthoplastic Society as described in the terms and conditions.

READ THE TERMS & CONDITIONS

Submit

Become A Member

Membership Application

CONTACT AMOS

Become A Member

​Membership Application

CONTACT AMOS

Membership Application