Resident or Fellow Membership Application

New Resident or Fellow Members

Upon completion of your pediatric residency training, or fellowship, you must request an elevation to active members status by contacting the Texas Pediatric Society in Austin.

Total Amount
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Resident and Membership Profile for Application
 
First and last name will be shared with other visitors to the site.
If you have a different preferred first name, please let us know what you want to go by here.
MBA, MPH, etc. applies here. Please type in all CAPS, and no periods.
If you do not have a Nick name you prefer to go by, please re-type your first name. Thank you.
 
If an exact date is unknown, please choose any day in the closest month and year.
If an exact date is unknown, please choose any day in the closest month and year.
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