AAISG
Membership Application

Membership Application

Click the link below to download a PDF of the

AAISG New Member Application

You will need information about your medical training, other society memberships, and general information about your current professional status.


Completed membership applications can be returned to the AAISG Secretary via mail, email, or fax:

Mail

Dean Firschein, M.D.
ATTN: AAISG Secretary
330 Hawthorne Lane
Athens, GA 30606
Phone: 706-613-8500

Email

[email protected]

Fax

706-613-8844