PLEASE NOTE

Microsoft has ended support for its pre-IE11 browsers as of January 2016 and will be discontinuing IE11 support in August 2021.

If you are seeing this message, you are viewing the site on one of these unsupported browsers. We only support the recent versions of major browsers such as Chrome, Firefox, Safari, and Edge.

Thank you.

(click to close and continue using this browser)

 
Home Members & Membership Membership Application

Membership Application

Membership Category




Qualifications: Board certified or board eligible by the American Board of Urology (ABU) or its International equivalency. $100 payment of Annual Dues is required.
Qualifications: Practicing urologist who is not board (ABU) eligible or board certified. $100 payment of Annual Dues is required.
Qualifications: Advanced Practice Provider or a non-urologist MD/DO with an interest in urology. $50 payment of Annual Dues is required.
Qualifications: Physicians-in-training in any of the State’s accredited Urology Residency Training Programs. Annual Dues are waived.

Applicant Information



Applicant Addresses

Office Address

Home Address


Payment Information (must be made in U.S. dollars)

  • Billing Information

If paying by check, make check payable to: Louisiana Urological Society

Mail payment to:
Louisiana Urological Society
Two Woodfield Lake
1100 E. Woodfield Road, Suite 350
Schaumburg, IL 60173

  • 397032
By submitting this application, 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 Louisiana State Urological Society.