Prefix*
First Name*
Last Name*
Suffix
Specialty*
If OTHER:
Practice or Company Name*
Business Affiliation*
Practice or Company Address*
City*
State*
Zip/Postal Code*
Practice or Company Website
Preferred Phone Number*
Preferred E-Mail Address*
Alternate Contact Info (ie: secretary, office manager, etc.)
Alternate Contact Name
Alternate Contact E-mail
Alternate Contact Phone
*All Candidates for Membership must upload a current curriculum vitae or resumé.
The OEIS has three categories of membership for which to apply.
*Select a Membership Type that is most appropriate for you.
Membership TypeActive Membership (Physicians Only)
There are 3 pathways for Active Membership.
*Select which Pathway you believe is most appropriate for you:
Pathway 1: Membership will be considered for physicians who perform procedures in outpatient endovascular or interventional laboratories. , Candidates shall have certification by both a primary specialty board and an applicable subspecialty board which holds membership in the American Board of Medical Specialties or the Bureau of Osteopathic Specialists of the American Osteopathic Association and which have included endovascular procedures as an integral component of their training; including the fields of Vascular Surgery, Interventional Cardiology, and Interventional Radiology. Candidates should be performing endovascular and interventional procedures in an outpatient center. Lacking Board certification, candidates are expected to have made important clinical contributions over a period of years in an applicable field, and to provide evidence that he/she is recognized by peers in his/her community that he/she is a specialist.
*Please provide us with the name of the Practice Manager or Medical Director of your office-based interventional lab:
*The above-named person is the:
Medical Director
Practice Manager
*Please provide us with his/her phone number:
*Please provide us with his/her e-mail address:

Pathway 2: Membership will be considered for physicians who: (1) belong to practices which offer outpatient endovascular or interventional procedures and (2) have at least one interventionist in their practice who is an active Member.
*Please provide us with the name of the Practice Manager or Medical Director of the interventional lab that you are affiliated with:
*The above-named person is the:
Medical Director
Practice Manager
*Please provide us with his/her phone number:
*Please provide us with his/her e-mail address:

Pathway 3: Physicians who do not clearly meet the above-stated criteria for Pathways 1 and 2 will be reviewed for membership by the Membership Committee on a case-by-case basis for possible qualification and approval by the Board.
For avoidance of doubt, only Active Members may vote on actions required by these Bylaws to be voted on or approved by members.

*All candidates for Active Membership, must be supported in one of the following ways.
       Please attest to the support for membership that can be offered on your behalf. OEIS will not contact references on an applicant's behalf. It is the responsibility of the applicant to contact their references, and ensure that the appropriate forms or letters are submitted.
One current, active member of OEIS is willing to write a support letter on your behalf.
Please enter their name and email address.
Name:
Email:
Have you already obtained a support letter you can attach to this application?
Upload your support letter here:
If you do not know an OEIS member in good standing we request that at least two physician colleagues who are not members of the society and who are not members of your practice are willing to complete a Peer Survey on your behalf.
Please enter their name and email address.
Name:
Email:
Name:
Email:
An email will automatically be sent to the email addresses you have entered with a link to the Peer Survey. You MUST follow up with these colleagues to ensure that they complete the online Peer Survey.

Membership TypeAssociate Membership
Associate Membership will be considered for physicians who are interested in outpatient endovascular and interventional procedures but who do not currently perform such procedures, belong to practices which offer such procedures or meet the qualifications required of Active Members by Section 1.
Associate Membership will also be considered for non-physician individuals who are employed by or affiliated with corporations involved in providing outpatient endovascular and interventional procedures, or in providing goods and services for office- based cardiovascular procedures.
*Please provide us with a brief statement of your involvement with outpatient endovascular and interventional procedures:

Membership TypeCorporate Membership
Corporate Membership will be considered for corporations who support the objectives and activities of the Society.
*Please indicate how your company meets this requirement:

Notes about membership application, approval, and dues

Completed application forms will be submitted to the Chairman of the Membership Committee at least one (1) month before the executive session at which it is desired that the candidate be considered for approval and subsequent approval by the Board of Directors.

A sponsoring letter from at one Society member in good standing may be requested.

Applicants shall be admitted to membership upon qualification, recommendation by the Membership Committee, subsequent approval by the Board of Directors and payment of annual dues.

The Annual Dues for each category of membership are as follows and are subject to change:

Active Members - Annual dues are currently $350

Associate Members - Annual dues are currently $350

Corporate Members - Annual dues are currently $3,000
*Please enter your name below, this will serve as your electronic signature on your application.

The Outpatient Endovascular and Interventional Society (OEIS) is a member of the CardioVascular Coalition (CVC), a nonprofit organization representing freestanding cardiovascular center. CVC members are comprised of providers and manufacturers who came together to improve awareness, prevention and treatment of peripheral artery disease, reduce geographic disparities in access to care, and secure patient access to high-quality, cost-effective, community-based interventional treatment across America. MORE INFO (PDF)

As a benefit of membership in OEIS, you are automatically eligible for membership (at NO additional fee) as a Supporting Member of the CVC. The CVC aids in allowing our voices to be heard locally and nationally. The governing board of OEIS believes this is a tremendous benefit for our membership and encourages you to confirm your membership as a Supporting Member of the CVC.

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