Membership Applications

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Please remit payment with application. You may remit a check, provide your credit card information or call the Association at 203-513-2045 with your credit card information.

Licensed to practice medicine or surgery in Connecticut.

Non-licensed doctor of medicine or osteopathy.

Person enrolled in an accredited medical or osteopathy school in the United States.

Licensed to practice medicine or surgery in Connecticut and belongs to another county medical association.

Licensed healthcare practitioners other than a medical doctor.

Doctor of medicine or osteopathy who has a permit for graduate medical education and is a resident or fellow in Connecticut.

Person enrolled in an accredited medical or osteopathy school in the United States.

Association dues attributable to certain lobbying, political and public relations activities are not deductible as a business expense.

90 percent of FAIRFIELD COUNTY MEDICAL ASSOCIATION DUES PAID for 2022 CAN BE DEDUCTED AS A BUSINESS EXPENSE.