ACMG membership runs on a calendar year basis. Those applying:

Jan. 1 – May 31           Pay Full Year dues amount          

June 1 – Sept 30         Pay ½ Year dues amount

Oct. 1 – Dec. 31          Pay Full Year dues amount (includes dues through Dec. 31 of the following year)

A one-time application fee of $50 is required and is non-refundable.  Student applicants are exempt from the application fee.  Dues and application fee must accompany application.  Those wanting to pay by check can download an application below. For institutional accounting purposes, the ACMG Federal ID# is 52-1774227.

New member applications are approved by the ACMG Board monthly. You will receive written notification and membership materials once your application is approved. Questions regarding membership status should be sent to acmg@acmg.net or you can call 301-718-9603.

Download Membership application
(Microsoft Word Document)

Search for an existing record

Please enter your search criteria to view results
Please use the above search tool to check for your existing record in our database. If your record is returned, you may click on it to sign in and update your record to continue filling in your application form .
If your record is not found, you can fill in the fields below to create a new record.
Prefix

First Name
 
Middle Name
Last Name
 
Name/Degree(s) on medical/board certificates (if different than above)

Title



Institution
Preferred Mailing Address:  

 

 

 

Work Address 1

Work Address 2
Work Address 3
 
Work Country

Work City
State
Zip/Postal Code

Work Phone
 
Work Fax
 
Work Email
 

Home Address 1

Home Address 2

Home Address 3

Home Country
 
Home City

State

Zip/Postal Code

Home Phone
 
Home Fax
 
Home Email
 

*Institution address will be displayed in the Membership Directory. Directory preferences may be updated from the Members Only section of the ACMG website.

Preferred Email**
  
Email Type
 
Faculty Member
 

**To facilitate email communications, please add acmg@acmg.net to your approved sender list.

NPI#

Date of Birth
 
Gender
  

 

 What ACMG Communications, if any, spurred your decision to join? 

Category of Membership Requested***:

       Category Descriptions and Fees

***Applicants for Candidate Fellow and Associate Member (if not yet certified), you will be asked to upload proof of eligibility for Board Certification on the next page. Applicants for Trainee and Student membership, please download and complete a Verification of Student/Trainee Status form, which you will be asked to upload during the application process. If you are unable to upload required documentation at this time, you can email it to acmg@acmg.net.

 

 
Create Password
 
Confirm Password
 

For login purposes, your Username will be the preferred email provided.