Membership to the Florida Allergy, Asthma & Immunology Society is open to Florida Licensed Physicians in good standing. Membership shall be limited to those physicians who have completed an allergy and immunology fellowship accredited by the American Council for Graduate Medical Education (ACGME) or those who are currently in an ACGME-accredited allergy and immunology training program.

Please print out the application above, fill it in, and mail your check along with the documents listed at the bottom of the form to:

Florida Allergy, Asthma & Immunology Society
4909 Lannie Road, Ste. B
Jacksonville, FL 32218

If you have any questions you may also contact us by:

Phone: 904-765-7702
Fax: 904-765-7767

Download Adobe Acrobat
 PDF files require Adobe Acrobat Reader to view.