Membership Application

Active Membership

Annual Dues

$ 50
1st Year
$ 175
2nd Year
$ 350
3rd Year+

Active Membership Requirements

Active membership shall consist of physicians and surgeons who have a current and unrestricted license to practice medicine in the State of California and who by reason of training and experience are qualified to perform neurosurgery. The majority of their medical and surgical practice must be in the specialty of neurological surgery and performed within the State of California as defined in section 3.04. Active members shall be entitled to full privileges of this Association and shall be entitled to vote and hold any office or appointment. They shall be required to pay dues.

If your browser does not display the online application form, please download the PDF below, then email the completed form to