Student New Member Application

    Welcome! The Texas Medical Association is an organization of physician and medical student members working to promote excellence and professionalism in medicine. When you join TMA you also become a member of your county medical society.

    As a medical student, you are eligible for FREE membership in the Texas Medical Association and your county medical society.

     
    Name
    First Name  
    Middle Name
    Last Name  
    Maiden Name
    Other Names Under Which You Are Legally Registered
    Home Address
    Address 1  
    Address 2
    City  
    State  
    Zip    
    Phone  
    Email    
    Identifying Information
    Date of Birth (MM/DD/YYYY)    
    Country  
    Gender  
    Ethnicity - optional (aggregate demographic purposes only)
    Marital Information
    Marital Status
    Spouse's Name
    Is spouse also a student/physician?
    Medical School
    Medical School  
    Degree Sought  
    Estimated Graduation Date (MM/DD/YYYY)    
    Membership Authorization

     

    I hereby apply for membership in the County Medical Society and Texas Medical Association and, if accepted, agree to abide by and be subject to the terms and conditions of the Constitution and Bylaws of the Society and of the Texas Medical Association and the Principles of Medical Ethics of the American Medical Association. In order to process my application for membership, I grant permission and consent for you to obtain from any appropriate source all relevant information concerning my credentials and qualifications.

    I understand that if my application for membership is denied by the Board of Censors, I have a right to appeal the denial to the County Medical Society pursuant to the Hearings Procedure Manual. I understand that if my application for membership is denied, based on professional competence or conduct, the County Medical Society must report such a professional review action to the National Practitioner Data Bank through the Texas Medical Board within 15 days of the date that all due process rights have been exhausted.

    I hereby release, and hold harmless from liability or loss, the County Medical Society, the Texas Medical Association, and any other County Medical Society to which I transfer, their officers, agents, employees, and members for acts performed in good faith and without malice in connection with evaluating my application and my credentials and qualifications, and hereby release from any liability any and all individuals and organizations, who, in good faith and without malice, provide information to the above named organizations, or their authorized representatives, concerning my professional competence, ethical conduct, character and other qualifications for membership.

    I further authorize disclosure of information generally considered to be reliable which has a bearing on my professional competence, character, and ethical qualifications to all hospitals, medical discipline boards, and medical licensure boards which request such information.

    I also agree that biographical information will be disseminated in accordance with the policy and procedures established by the TMA Board of Trustees unless otherwise directed by me.

    Note: Membership becomes effective when application has been approved by your county medical society board of censors and dues have been paid to the Association.  

    American Medical Association
    Link to AMA student app: https://www.ama-assn.org/go/joinstudent