Member Application

Renewing member? Already have an ACEP.org web account or an ACEP ID? Click here to login or create an account.

Contact Information
First Name: *   MI 
Last Name: *
Suffix (ex: Jr.):
Prefix: *
Job Title:
Date of Birth: *
Referred By:
Maiden Name:
Gender:
Primary Email: *
Primary phone:    Ext:   
Primary Address Type: *
Country: *
Attention Line:
Street: *
Apt/Suite:
City: *
State/Province:
Postal Code: *
No External Mail:


Web Credentials

Web Credentials help provide you with access to exclusive member content online, and also helps simplify event registration and order processing.

Username: *
Must contain 4 or more characters.
Password: *
Must contain 4 or more characters.

Re-enter Your Password: *
Choose a Security Question: *
Answer the Security Question: *
The record with the provided information already exists in the system. Please click one of the links below to proceed.
Forgot Username? Forgot Password?

OR

Please contact the ACEP Member Care Center at membership@acep.org or call 800-798-1822, ext. 5.


Emergency Medicine Career Information
Career Status: *
NPI Number
Employment Status: *
Primary Practice Location: *
Year began Emergency Medicine Career: *

Military Tour
Branch of Military:
Military Rank:
Tour Begin Date:
Tour End Date:

Hospitals

Add Hospital
Country: * State Province:
Hospital:

Physician Group
Physician Group:
Board Certifications
Medical License
License Type Code:
Country:
State Province:
License Date:
License Number:
Has this License ever been revoked or suspended?
You must select a chapter based on:
  • Residence
  • Employment Address
  • Employment Hospital
  • US government employee (Select Government Services)

To add/edit addresses or select an employment hospital, please click "Previous" at the bottom of the page.

Primary Chapter
Primary Chapter: *
Required for US states and territories where chapters exist.
Secondary Chapters ( Optional )

Please click here to see the pricing on Secondary Chapters

Sections of Membership

Items in Your Shopping Cart

Product Name Price Per Unit Quantity Edit Amount Amount Billed
Total Amount

If you do not wish to make donations, please type the number 0 (Zero) in the donation fields and click "Update" to proceed with your renewal.

Promo Code


What's this?


Please Provide Payment Information

Amount:*
Credit Card Holder Type:*  
Business Name:  
Name as appears on the card:*  
Credit Card Number:*
 
  (Please enter credit card number without any dashes)
Expiration date:*    
CVV:*   What is CVV?  
Billing Zip Code:*    

Enter the code in the “Promo Code” box to activate the promotion or special offer. After your order is complete, you will receive an email with instructions on redeeming your promotion or special offer. Please note that promotions and special offers are a final sale -- there are no refunds or exchanges. Offers and promotions cannot be combined with any other offer or promotion, or applied to previous purchases.

NEMPAC Contribution
The National Emergency Medicine Political Action Committee of ACEP collects personal donations from members for contributing money to Federal candidates.
Contributions are voluntary and are not required for ACEP membership.
The contribution requested is only a suggested amount. ACEP will not look upon any member with favor or disfavor by reason of the amount of their contribution or their decision not to contribute.
NEMPAC contributions which are received on a corporate check will be used to pay for the educational programs of NEMPAC and other activities permissible under Federal law.
CVV2

Please review the payment information and place the order

Order Number:
Amount:
Credit Card Number:
Credit Card Type:
Name as appears on the card:
Expiration date:

Please do not refresh or close the browser after clicking the 'Submit Order' button.

Thank You. Your order was successfully processed.

Your order is processed successfully. Please print it or export to one of the formats provided. Any time you want to see your invoices history, please visit "My Invoices page". Please click here to book mark your invoices history page.

If you have just become a section member or just renewed your membership, it is advised that you log out of the web site and sign back in for the system to update your membership account settings. Please contact the ACEP Member Care Center at membership@acep.org or call 800-798-1822, ext. 5 for any issues.



ACEP Bylaws stipulate the requirements for membership.

ACEP Membership is available to physician emergency specialists who meet one of the following membership type requirements:

Active Requirements

  • Satisfactory completion of an emergency medicine residency program accredited by the Accreditation Council on Graduate Medical Education (ACGME).
  • Satisfactory completion of an emergency medicine subspecialty-training program accredited by ACGME.
  • Satisfactory completion of an emergency medicine residency training program accredited by the American Osteopathic Association (AOA).
  • Satisfactory completion of an emergency medicine residency program approved by an ACEP-recognized accrediting body in a foreign country.
  • Certification by an emergency medicine certifying body recognized by ACEP.
  • Or eligible for active or international membership in the College at any time prior to the close of business December 31, 1999.
International Requirements

Available to emergency physician who is not a resident of the United States or a possession thereof, and who is licensed to practice medicine by the government where they reside and practice.

Candidate Requirements
  • Medical Student Requirements
    Available to medical students that are currently enrolled in medical school.
  • Intern Requirements
    Available to interns currently enrolled in an accredited residency program.
  • Residency Requirements
    Available to residents currently enrolled in an accredited emergency medicine residency program or an accredited residency program with a subspecialty in emergency medicine.
  • Fellowship Requirements
    Available to fellows currently enrolled in an accredited fellowship program.

For more information on eligibility requirements, please call ACEP Member Care Center at 1-800-798-1822 ext., 5 or click here.

Feedback
Click here to
send us feedback