You may download these applications. Adobe Acrobat Reader is needed to download the applications. Click below to download the latest version of Adobe Acrobat Reader.

Please answer all questions as completely and accurately as possible. If you need more space, add additional sheets and clearly label the Section(s) on the application to which they apply.

Please mail the application, all supporting materials, curriculum vitae and application fee to The Academy's office:

6750 Hillcrest Plaza Drive, Suite 221, Dallas, Texas 75230-1425 USA.

 

To download an application for Diplomate Status, click on

Application for Diplomate Status

 

To download an application for Clinical Membership, click on

Application for Clinical Membership

 

To download an application for Associate Membership, click on
Available to qualified Graduate/Medical Students

Application for Associate Membership