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Life Membership

Lifetime membership is available to OCMS members who have fully retired from the practice of medicine and have been a member for at least 25 years. To apply for Life Membership, please complete the form below.

Life Membership Form

Name(Required)

First Middle Last Suffix

Primary Email(Required)

Mobile/Cell Phone

Primary Address(Required)

Street Address Address Line 2 City State ZIP Code

Age(Required)

Date of Retirement(Required)

Consent(Required)

I agree that all information above is accurate and that I have fully retired from the practice of medicine.