• Retired Member Application

  • Thank You for Applying for Retired Membership

    With Retired Membership, your annual membership dues will be decreased to $200 per year. Please complete the application below to confirm that the criteria apply to you. Note: Retired Membership rates go into effect during the next dues cycle after the granting of this status.

    About Retired Membership

    Retired membership is designed for individuals who would otherwise qualify as Attending members, who have permanently retired from the practice of emergency medicine, and who have reached the age of 65. Your application will be reviewed by the Member Services Committee, which makes the final decision.

    Bylaw Wording

    Retired Member – Membership may be granted, upon application to the Member Services Committee, to any individual who would otherwise qualify as an Attending Member, but who has permanently retired from the practice of emergency medicine and has reached the age of 65.

    What This Means for You: To qualify, you must meet all three requirements: you would otherwise qualify as an Attending member, you are permanently retired from the practice of emergency medicine, and you are at least 65 years old. The Member Services Committee reviews applications and makes the final decision.

    Application Review Process

    Applications are reviewed four times per year according to the following schedule:

    • February 1
    • May 1
    • August 1
    • November 1

    Applications received after these cutoff dates will be reviewed in the next review cycle.

    Each application will be reviewed by the Member Services Committee. Once the committee approves your application, you will receive formal notification of your membership status change.

    If we have any questions about your submission during this process, we will reach out directly.

    Optional Details to Help Review

    To assist the committee in reviewing your application, you may choose to provide additional information about your professional background and retirement status. These details are optional but can help expedite verification and approval.

    • Last primary employer or group
    • Last title or role
    • Years in practice
    • Any notes or additional context for the Member Services Committee
  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Date you became permanently retired from the practice of emergency medicine:*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Since that date, have you performed any compensated clinical emergency medicine work?*
  • Do you perform any uncompensated clinical work, telemedicine, or consulting in emergency medicine*
  • Current medical license status*
  • *
  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: