Join CACS fellow

Membership Endorsement

The membership endorsement form must contain a printed name and signature from a physician endorsing you for Membership. Please be sure to include all required information before submitting.

Active Member, Affiliate applicants need to forward the enclosed Membership Endorsement Form to a current member of the California Academy of Cosmetic Surgery, a Chief of Surgery/Staff of a hospital, or another medical professional colleague you have known for two (2) or more years.

Resident applicants must submit the enclosed Membership Endorsement Form from their Residency / Clinical Training Program Director. The form must also include the beginning and completion dates of their training program.

INSTRUCTIONS:

The Membership Endorsement Form can be handled in two (2) ways:

1. Download the form below and email the completed form to info@calcosmeticsurgery.org, or...
2. Upload your completed form and submit it along with this application.

Membership Agreement

I agree that membership in CACS is a privilege, not a right. I recognize that the contents of this application will be seen by individuals working in and for CACS. I agree to return my certificate of membership if my license to practice medicine or dentistry is revoked, suspended, or limited beyond its present state, or if membership is revoked or terminated for such other cause as may be deemed appropriate in the bylaws of the Academy. Moreover, I acknowledge that membership in CACS does not qualify me as a certified physician to practice cosmetic surgery and that membership in said Academy is for educational purposes to advance knowledge, experience and skills. I hereby acknowledge and authorize use of the information provided for dissemination of information from or approved by CACS which it deems germane to my practice.