Join AIMIS – AIMIS

Complete the application online or download/print and send the completed form as a document.

Select any of the following forms to complete.

GYN Physician Application

GYN Center of Excellence Application

General Surgery Physician Application

General Surgery Center of Excellence Physician Application

Bariatrics (Spanish)

Bariatrics Physician (Spanish): Download here

Bariatrics Center of Excellence (Spanish): Download here

Bariatrics (Portuguese)

Bariatrics Physician (Portuguese): Download here

Bariatrics Center of Excellence (Portuguese): Download here

If downloading/printing the form, please upload a copy of your completed document below.

Name*
First Last
Email*
Region*
- AIMIS North America
- AIMIS Latin America
Upload Your Completed Form*
Drop files here or

Accepted file types: pdf, jpg, Max. file size: 5 MB, Max. files: 5.