Registration - The Academic Orthopaedic Consortium

Thank you for your interest in AOC Membership! Members MUST be part of an Orthopaedic Practice. 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
Do you work for an Orthopaedic Practice?*
Type of Practice You Work For*
Position*
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*
City*
State* State of the above listed University
Country*
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

Create Password