Indiana Urologic Association, Inc. (IUA)

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• Active Membership $100.00 USD
• Qualifications: Active Membership in this Society is limited to licensed physicians of who reside and practice Urology in the state of Indiana and have an unrestricted license to practice medicine. $100.00 USD payment of Annual Dues is required.
• Affiliate Membership $100.00 USD
• Qualifications: Affiliate Membership in this Society includes licensed physicians in related fields of medicine and science who cannot qualify for active membership and Non-physicians who, by their professional or personal accomplishments have contributed significantly to medicine in general or the specialty of urology. $100.00 USD payment of Annual Dues is required.
• Candidate Membership $0.00 USD
• Qualifications: Candidate Membership in the Society is limited to residents in an accredited Urology training program within the state of Indiana. Such membership will terminate with completion or discontinuation of such residency training. There are no annual dues.

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What area of subspecialty: (check all that apply)

AcademicsEndourologyFemale UrologySexual Medicine
General Urology AdultsMale InfertilityPediatric UrologyUrologic Oncology

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I hereby certify that the information on this application is correct. If accepted for membership, I hereby agree to abide by the Constitution and Bylaws of the Indiana Urologic Association, Inc.

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