Orange County Medical Society

The Orange County Medical Society is a non-profit, voluntary membership, professional organization that represents the interests of physicians who practice medicine in either Orange or Osceola County in Central Florida.

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OCMS

We Represent Physicians Dedicated To Serving Their Patients.

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Front Page

Benefits of Membership

Apply for Membership

Complete the online application below or click here to download the application
1. as an Adobe^tm .pdf file
2. as a zipped Word^tm document
Submit Curriculum Vitae & Recent Photograph – Mail a hard copy to the OCMS office OR e-mail to frontdesk@ocms.org.
Send Dues Payment (2 options)
1. Credit Card by phone - contact OCMS at 407.622.8188.
2. Check - Make check payble to Orange County Medical Society and mail to:
  901 N. Lake Destiny Drive
  Suite 385
  Maitland, FL 32751
Applicants will be notified when the Board of Directors approve the applicant for membership.

Membership Categories

Membership Category	Annual Dues
Active	$360
Intern/Resident	$13.50
Military/Government	$52
Retired	$52

Online Application

Personal Information

First Name:	Last Name:
AMA Medical Education:	FL Medical License:
Sex: Male Female	Date of Birth:
Spouse's Full Name:	Practice/Group Name:
Administrator: Primary Specialty: Secondary Specialty:	Practice Type: Solo Group Employed Government Based Academic Other If Other:
Education: Degree: Date:	Medical School:
Board Certifications: Name of Board: Date:	Certified in:
Name of Board: Date:	Certified in:
Hospital Affiliations: Hospital (Primary):	City:
Hospital (Secondary):	City:
FMA Member that recruited you:
Mailing Information: Please provide both addresses for our personal use. Preferred mailing address: Office Home
Office Address: Address: City: State: ZIP: Telephone: Fax: Email:	Home Address: Address: City: State: ZIP: Telephone: Fax: Email:
Membership Application and Qualification Questions: Members abide by the AMA Principles of Medical Ethics and the bylaws of the Associations. To assist us in upholding these standards, please provide answers to the following questions:
Have you ever been convicted of fraud or a felony?	Yes No
Has any action, in any jurisdiction, ever been taken regarding your license to practice medicine? This includes actions involving revocation, suspension, limitation, probation, or any other imposed sanctions or conditions.	Yes No
Have you ever been the subject of any disciplinary action by any medical society or hospital medical staff?	Yes No
I am aware that the information submitted in this application will be verified. I hereby authorize other organizations having information relating to this application, including governmental and regulatory entities, to release any and all such information. I understand that any false or misleading statement made on my application may be grounds for denial of membership or probation or censure by, or suspension or expulsion from the medical society (ies). The foregoing information is true and complete.
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The Orange County Medical Society is a non-profit organization that represents physicians from all sections of health care and medicine for Central Florida and Orlando.