Medical Students, Residents, and Fellows
The Arizona Medical Association (ArMA) has represented the interests of physicians and the patients they serve since 1892. Become a part of this legacy and get involved as much as you like. Join today!
Name
*
First Name
Last Name
Degree (MD, DO, Student)
Personal Email Address
*
Please provide a personal email address so we can stay in contact once your training is complete and you have the opportunity to continue your membership once you are practicing. (We never share this information.)
Cell Phone Number
*
Please provide a personal number in order to ensure that you receive valuable messages regarding your membership.
Personal Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Please list your current education program
*
Medical Student
Resident
Fellow
What is your current program year?
*
Please Select
MSY0
MSY1
MSY2
MSY3
MSY4
Resident
Fellow
Medical School Name
*
Please Select
A. T. Still University
Creighton Univ SOM
Mayo Clinic ASOM
MWU AZ College of Osteopathic Medicine
UA COM Phoenix
UA COM Tucson
OTHER (For Residents/Fellows)
Medical School Graduate Year - Class of YYYY
*
Please indicate future or past graduate year ex. Class of 2024, Class of 2018 etc.
Residents and Fellows ONLY - Enter Program/Facility Name
Facility Name
Residents and Fellows ONLY - Scheduled Program Completion?
Please Select
2026
2027
2028
2029
2030
OTHER
Please indicate the year that your Residency/ Fellowship Program will end.
Which county do you live or practice in?
*
Please Select
Maricopa
Pima
Pinal
Yavapai
Flagstaff
Other
Submit
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