Member Application

Membership Dues & Information

Membership dues for the Spanish American Medical Dental Society of New York are $175.00 for the first year inscription. If your application is denied, this money will be reimbursed to you.

The membership application must be sponsored by two (2) active members of the Spanish American Society. The following information should also be included:

  • Photocopy of current registration of either your New York State Medical License OR
    Dental Certificate of Registration.
  • Curriculum Vitae
  • Check payable to SAMDESNY for $175.00

Membership applications are available from the Spanish American Medical Society by contacting the membership committee at 718-505-2037.

To fill out the membership application online click »Online Membership Application.

To download and print the membership application click »Download Here.

Please answer all questions fully and mail the completed application together with your check made payable to the Spanish American Medical Society of New York, Inc. to the attention of:

Admissions Committee

Spanish American Medical Society of New York, Inc.
104-01 Roosevelt Avenue
Second Floor, Room 3
Corona, NY 11368

For more information contact us using our web form or call at (718) 505-2037