Registration - The Academic Orthopaedic Consortium

Thank you for your interest in AOC Membership! Please fill out the registration form below and you will be notified once your membership is approved. Please contact Michael R. Gagnon, M.B.A., Founder and CEO, Academic Orthopaedic Consortium, with any questions/concerns.

Basic Info
User Name* Usernames cannot be changed.
First Name*
Last Name*
Gender*
E-mail*
Professional Info
Full AOC Membership is for those who work for an Orthopaedic Practice. Affiliate AOC Membership is available for all others.
Do you work for an Orthopaedic Practice?*
FULL AOC MEMBERSHIP
Membership for those who work for an Orthopaedic Practice
Type of Practice You Work For*
Position*
AFFILIATE AOC MEMBERSHIP
Membership option for those in the healthcare space and who are not directly tied to Orthopaedics
Which kind of healthcare group best describes your job:*
If "Other", please write the name of your healthcare group here.
Type of practice you work for*
Academic Affiliation* Name of University your Orthopedic Practice is affiliated with (i.e. Duke University)
If "Other", please write the name of your academic affiliation here.*
Name of the Company or Practice You Work For*
Your Job Title*
City*
State* State of the above listed University
Which EMR does your practice use?* NOTE: The AOC has special user groups and a national network for those who utilize Epic and Cerner.
Create Password
Password* Type your password. Minimum length of 8 characters.
The password must have a minimum strength of Medium.Strength indicator
Repeat Password* Type your password again.

Send these credentials via email.

Basic Info

Professional Info

FULL AOC MEMBERSHIP

AFFILIATE AOC MEMBERSHIP

Create Password