UOS Membership Application

To apply for Utah Ophthalmology Society membership, please complete the following information.

Membership Benefits Include:
  • Coding updates and Coding answers
  • CME programs for physician and staff
  • Annual scientific and coding conference, two CME dinners offered annually
  • Legislative and regulatory representation
  • Professional directory listing on UOS Website including location and photo for public
  • OMIC discounts for society events
Personal Information
Applicant's Date of Birth
Status
Status
Practice Information

For example: www.mypractice.com

Education/Training

* Indicates a required field.

Change

Your application will be reviewed for approval by the UOS Board of Directors and you will be notified of your dues amount by invoice.
Thank you.