Join
My Profile
Login
Menu
About
Contact OSMA
OSMA Staff
Contact Us
Become a Corporate Sponsor
About OSMA
Our History
Our Work
Our Policies
OSMA Foundation
OSMA Council Roster
AMA Delegation
Council Resources
Membership
Why Join?
Membership Overview
Advocacy & Policy Involvement
Discounted Partner Services
Free CME & Webinars
Well-Being CARE Support
Annual Meeting
Mentorship Program
Job Board & Career Networking
Latest News Emails
Our Member Sections
Member Resources
Join/Renew Now
Ask OSMA
Get Involved
OSMA Policies
OSMA Library
Ohio Medicine Publications
Member Lookup
See New Members
In Memoriam
Events & Education
Education
Events and Webinars
Medical Marijuana Use in Ohio
Medical Marijuana Education Courses
Physician Well-Being Initiative
Accreditation
Course Certification
Partnerships
Advocacy
Advocacy
Regulatory Affairs
Top Legislative Issues
Insurance Reform
Advocacy Action Center
Join a Task Force
OSMAPAC
Donate to PAC
20 Years of Tort Reform
Annual Meeting
Physician Well-Being
Ask OSMA
Membership Application - 2026 Promo
Personal Information
Full Name:
First
Middle
Last
Designation
(FACS, MBA, MPH, etc.)
Informal Name/Nickname
Contact Information
Email
(preferred)
Email (alternate)
Cell Phone
Address Information
Practice Group Name
Office Address
City
State
choose one
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
PR
Zip
Specialty
choose one
Allergy
Pediatric Adolescent Medicine
Addiction Medicine
Addiction Psychiatry
Allergy & Immunology
Aerospace Medicine
Anesthesiology
Pain Management
Radiology, Abdominal
Surgery, Abdominal
Pathology, Anatomic
Bariatrics
Pathology, Blood Banking/Transfusion Med
Surgery, Breast
Anesthesiology, Critical Care
Internal Medicine, Critical Care Medicine
Pediatric Critical Care
Surgery, Critical Care
Cardiovascular Diseases
Surgery, Cardiovascular
Genetics, Clinical
Neurology, Child
Psychiatry, Child & Adolescent
Pathology, Clinical
Neurology, Clinical Neurophysiology
Cardiology
Surgery, Colon & Rectal
Cardiothoracic Surgery
Cardiovascular Medicine
Dermatology
Pediatrics, Developmental-Behavioral
Diabetes
Dermatopathology
Radiology, Diagnostic
Surgery, Dermatologic
Emergency Medicine
Endocrinology, Diabetes & Metabolism
Epidemiology
Electrophysiology
Epilepsy
Emergency Medicine, Sports Medicine
Emergency Med, Medical Toxicology
Family Medicine
Pathology, Forensic
Family Practice, Geriatric Medicine
Surgery, Facial Plastic
Family Practice, Sports Medicine
Gastroenterology
Geriatrics
Gynecological Oncology
General Practice
General Preventive Medicine
Surgery, General
Gynecology
Hematology
Hepatology
Pathology, Hematology
Surgery, Head & Neck
Hematology/Oncology
Hospitalist
Surgery, Hand (Plastic)
Surgery, Hand
Cardiology, Interventional
Clinical Cardiac Electrophysiology
Infectious Diseases
Immunology
Internal Medicine
Internal Medicine, Geriatrics
Infertility
Pediatrics, Internal Medicine
Radiology, Interventional
Interventional Pain Management
Internal Medicine, Sports Medicine
Legal Medicine
Medical Management
Maternal & Fetal Medicine
Genetics, Medical
Pathology, Molecular Genetic (Medical Genetics)
Multi Specialty
Medical Microbiology
Internal Medicine, Pediatrics
Public Health And General
Radiology, Musculoskeletal
Neurology
Cardiology, Nuclear
Psychiatry & Neurology, Neurodevelopmental Disabil
Nephrology
Nuclear Medicine
Neuromuscular Medicine
Otology/Neurotology
Pathology, Neuropathology
Neonatal-Perinatal Medicine
Nuclear Radiology
Neurology, Diag. Rad., Neuroradiology
Surgery, Neurological
Surgery, Pediatric Neurology
Nutrition
Orthopedics, Adult Reconstructive
Obstetrics & Gynecology
Obstetrics
Orthopedics, Foot And Ankle
Occupational Medicine
Surgery, Oral And Maxillofacial
Osteopathic Manipulative Medicine
Oncology
Orthopedics, Pediatric
Ophthalmology
Surgery, Orthopedic
Surgery, Orthopedic Sports Medicine
Surgery, Orthopedic Spine
Otology
Otorhinolaryngology
Otolaryngology
Orthopedics, Trauma
Psychiatry
Pharmacology, Clinical
Pediatric Anesthesiology
Pulmonary Critical Care Medicine
Pathology, Chemical
Pathology, Cytopathology
Pediatrics
Pediatric Allergy
Pediatric Cardiology
Pediatric Dermatology
Pediatric Endocrinology
Pediatric Infectious Disease
Pediatric Neurology
Pediatric Otolaryngology
Pediatric Pulmonology
Radiology, Pediatric
Surgery, Pediatric
Pediatric Emergency Medic
Psychiatry, Forensic
Pediatric Gastroenterolog
Phlebology
Pediatric Hematology-Onco
Pathology, Immunopathology
Palliative Medicine
Physical Med & Rehabilita
Pain Medicine
Physical Medicine & Rehabilitation, Sports Medicin
Pediatric Nephrology
Pediatric Ophthalmology
Pediatric Pathology
Pediatric Rheumatology
Surgery, Plastic
Pediatric Sports Medicine
Psychopharmacology
Pathology, Anatomic/Clinical
Preventive Medicine, Medical Toxicology
Pulmonary Diseases
Psychoanalysis
Psychiatry, Geriatrics
Radiology
Reproductive Endocrinology
Rheumatology
Neurology, Neuroradiology
Radiation Oncology
Pediatric Rehabilitation Medicine
Spinal Cord Injury Medicine
Sleep Medicine
Surgical Oncology
Pathology, Selective
Cardiology, Transplant
Radiology, Therapeutic
Transitional
Surgery, Trauma
Surgery, Thoracic
Surgery, Transplant
Urology
Undersea Medicine
Pediatric Urology
Surgery, Urological
Urogynecology/Pelvic
Unspecified
Radiology, Vascular & Interventional
Vitreo-Retinal Surgery
Vascular Medicine
Neurology, Vascular
Surgery, Vascular
Home Address
City
State
choose one
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
PR
Zip
What prompted you to join OSMA?
Were you encouraged by a colleague to join OSMA?
Please provide the name of the colleague who referred you so they can be credited for the referral:
2026 OSMA Membership:
Membership Fee:
2026 promo - join for 2026, get remainder of 2025 included - membership expires 12/31/2026.
1st year pro-rated dues
$280
- denotes required fields
Next >
