Fillable PDF

If you would prefer to mail in your application, print out the fillable PDF and mail in with your dues payment to MCMS, 1112 Harding Place, Suite 100, Charlotte, NC 28204. Or you can fax the application and CV to 704-376-3173 and call the office at 704-376-3688 to provide payment information. We will verify licensing and obtain a physician profile from the AMA.

$300 MD/DO (pro-rated July-December)
$150 MD/DO First Year After Training

$150 MD/DO Part-Time
$150 MD/DO Early Retired (before the age of 70)

$105 PA (MCMS only)
$100 PA (dual membership MCMS and MAPA)

Free Membership for Residents/Fellows
Free Membership to Emeritus Members (fully retired)

Payments to the Mecklenburg County Medical Society for dues are not deductible as charitable contributions for federal income tax purposes. However, they may be deductible under other provisions of the Internal Revenue Code.