Member Application

Renewing member? Already have an 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:
Primary Email: *
Primary phone:    Ext:   
Primary Address Type: *
Country: *
Attention Line:
Street: *
City: *
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.
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Please contact the ACEP Member Care Center at 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:


Country: *
State Province:
Please provide the details of the ED Director for
First Name:
Last Name:
Email Adress:
Thank You. The ED Director details you have subimitted have been forwarded to ACEP Member Care Center.

Physician Group
Physician Group:
Medical School
Country: *
Select Medical School:
Begin Date:
End Date:
Country: *
Select Institution:
Begin Date:
End Date:
Select Speciality:
Select Residency:
Begin Date:
End Date:
Select Fellowship:
Begin Date:
End Date:
Board Certifications

Select Certification Board:
Certificate Number:
Certification Date:
Expiration Date:
License Type Code:
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Has this License ever been revoked or suspended?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

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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

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Business Name:  
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Credit Card Number:*
Expiration date:*    
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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.

Please review the payment information and place the order

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

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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 or call 800-798-1822, ext. 5 for any issues.

Includes all electronic EMRA resources and discounts PLUS a member kit of printed publications such as the ABx Guide, PressorDex, Essentials of Emergency Medicine, and more. (Member kit contents are subject to revision). Unchecking this box will allow the member to access only electronic EMRA resources.

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