Membership Application

By making application to the Maine Medical Association, I also understand that I am applying for membership to a county medical society.

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If elected to membership, I agree to conduct myself professionally and personally according to the principles of medical ethics and to be governed by the Constitutions and By-Laws of the Maine Medical Association.

I hereby release, and hold harmless for any liability or loss, the Maine Medical Association, the officers, agents, employees, and members, for acts performed in good faith and without malice in connection with evaluating my application and my credentials and qualifications, and hereby release from any liability any and all individuals and organizations, who, in good faith and without malice, provide information to the above named organizations, or to their authorized representatives, concerning my professional competence, ethical conduct, character and other qualifications for membership.