SIIM Search:
SIIM: Innovating Imaging Informatics
Social Networking Tools

Become A Member

Please complete the online membership application form below as competely and thoroughly as possible.  We request that you provide both your work and your home addresses so that we have a means to contact you if we experience problems in our mailings.  A menu item is provided for you to select which address to use for SIIM mailings (JDI, SIIM News, annual meeting information and other membership information).

Also, please provide information on your current job, occupational setting, and medical specialty in the appropriate fields.  This helps the society to design programs and materials to better reflect our membership profile.

The SIIM Membership Department would greatly appreciate it if you use initial caps only in your submission.  Do not use all capital letters.  Thanks!

Please Note:  If you are a current SIIM member or a recent member, save time by renewing your membership instead of going through the new membership process.  Click on "Login" in the header bar and then log in to the membership pages by entering your email address and your membership ID number.  If you don't have your membership ID number readily available, click on "I have forgotten my password" to have your password emailed to you.  You will then be able to log in, update your membership information and renew online.

Salutation:
*First Name:
Middle Name:
*Last Name:
Degree:
Sex: Male: Female:
Work Title:
Work Department:
*Organization:
Work Address:
Work Suite:
Work City:
Work State: ...if Other:
Work Postal Code:
Work Country: ...if Other:
Home Address:
Home City:
Home State: ...if Other:
Home Postal Code:
Home Country: ...if Other:
*Mailing Address Preference
for SIIM Mailings:		 Work: Home:
*Phone:
Fax:
*Email:
*Occupation: Physician
Medical Physicist
Technologist
C-Level Admin/CEO/CFO/CIO/CMO
Health Care Administrator
PACS Administrator
IT Director/Manager/Health Info
Computer Scientist/Scientist/Researcher
Resident/Student
Engineer
Educator
Vendor/Consultant
*Specialty: Radiology
Cardiology
Nuclear Medicine
Oncology
Information Systems
Pathology
Other
...if Other:
*Primary Occupational Setting: University Hospital
Military, VA or Govt Hospital
Community Hospital
Private Practice
Corporate
University/College (Non Hospital)
Government (Non Hospital)
Interests:
(Select all that apply)		 PACS Administration
PACS Implementation
Connectivity, IT Infrastructure
Workflow/Productivity
Image Processing
Image Compression
Archive Integrity/Security
Teleradiology/Image Distribution
QA for Electronic Images
Reading Room/Speech Recognition
Image Enabled EMR
Computer-Aided Diagnosis
Computed Radiography
Direct Digital Radiology
TRIP
Other
...if Other:

Home | Contact

Copyright © 2009 Society for Imaging Informatics in Medicine

Privacy Policy | Legal