2026 YPS Society & State Representative Certification Form
Please use this form to certify your state or specialty medical society's representatives for the 2026 AMA Young Physicians Section (YPS) Assembly. Contact yps@ama-assn.org with any questions. Please note the YPS only requires credentialing once per year. If a member is credentialed for the Annual Meeting they will automatically be credentialed for the Interim Meeting.
State medical society -- select stateSpecialty societies, please skip to next question
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other
Specialty society -- select name
Please Select
Academy of Physicians in Clinical Research
Aerospace Medical Association
AMDA-The Society for Post-Acute and Long-Term Care Medicine
American Academy of Allergy, Asthma & Immunology
American Academy of Child and Adolescent Psychiatry
American Academy of Cosmetic Surgery
American Academy of Dermatology Association
American Academy of Facial Plastic and Reconstructive Surgery, Inc.
American Academy of Family Physicians
American Academy of Hospice and Palliative Medicine
American Academy of Insurance Medicine
American Academy of Neurology
American Academy of Ophthalmology
American Academy of Orthopaedic Surgeons
American Academy of Otolaryngic Allergy
American Academy of Otolaryngology-Head and Neck Surgery
American Academy of Otolaryngology-Head and Neck Surgery
American Academy of Pain Medicine
American Academy of Pediatrics
American Academy of Physical Medicine & Rehabilitation
American Academy of Psychiatry and the Law
American Academy of Sleep Medicine
American Association for Geriatric Psychiatry
American Association for Hand Surgery
American Association for Thoracic Surgery
American Association of Clinical Endocrinology
American Association of Clinical Urologists, Inc.
American Association of Gynecologic Laparoscopists
American Association of Neurological Surgeons
American Association of Neuromuscular & Electrodiagnostic Medicine
American Association of Physicians of Indian Origin
American Association of Plastic Surgeons
American Association of Public Health Physicians
American Clinical Neurophysiology Society
American College of Allergy, Asthma and Immunology
American College of Cardiology
American College of Chest Physicians
American College of Emergency Physicians
American College of Emergency Physicians
American College of Gastroenterology
American College of Lifestyle Medicine
American College of Medical Genetics & Genomics
American College of Medical Genetics & Genomics
American College of Medical Quality
American College of Mohs Surgery
American College of Nuclear Medicine
American College of Nuclear Medicine
American College of Obstetricians and Gynecologists
American College of Obstetricians and Gynecologists
American College of Occupational and Environmental Medicine
American College of Physicians
American College of Physicians
American College of Preventive Medicine
American College of Radiology
American College of Rheumatology
American College of Surgeons
American Gastroenterological Association
American Geriatrics Society
American Institute of Ultrasound in Medicine
American Medical Group Association
American Medical Women's Association
American Orthopaedic Association
American Orthopaedic Foot and Ankle Society
American Osteopathic Association
American Psychiatric Association
American Psychiatric Association
American Rhinologic Society
American Roentgen Ray Society
American Society for Clinical Pathology
American Society for Dermatologic Surgery
American Society for Gastrointestinal Endoscopy
American Society for Metabolic and Bariatric Surgery
American Society for Radiation Oncology
American Society for Reconstructive Microsurgery
American Society for Reproductive Medicine
American Society for Reproductive Medicine
American Society for Surgery of the Hand
American Society in Radiation Oncology
American Society of Abdominal Surgeons
American Society of Addiction Medicine
American Society of Anesthesiologists
American Society of Breast Surgeons
American Society of Cataract and Refractive Surgery
American Society of Clinical Oncology
American Society of Colon and Rectal Surgeons
American Society of Cytopathology
American Society of Dermatopathology
American Society of Echocardiography
American Society of Echocardiography
American Society of General Surgeons
American Society of Hematology
American Society of Interventional Pain Physicians
American Society of Maxillofacial Surgeons
American Society of Neuroimaging
American Society of Neuroimaging
American Society of Neuroradiology
American Society of Nuclear Cardiology
American Society of Ophthalmic Plastic and Reconstructive Surgery
American Society of Plastic Surgeons
American Society of Retina Specialists
American Society of Transplant Surgeons
American Society of Transplant Surgeons
American Thoracic Society
American Urological Association
American Urological Association
American Vein and Lymphatic Society
AMSUS The Society of Federal Health Professionals
Association of Academic Radiologists
College of American Pathologists
Congress of Neurological Surgeons
Endocrine Society, The
Eye and Contact Lens Association
GLMA: Health Professionals Advancing LGBT Equality
Heart Rhythm Society
Infectious Diseases Society of America
International Academy of Independent Medical Evaluators
International College of Surgeons-US Section
International Society for the Advancement of Spine Surgery
International Society of Hair Restoration Surgery
National Association of Medical Examiners
National Medical Association
North American Neuromodulation Society
North American Neuro-Ophthalmology Society
North American Spine Society
Obesity Medicine Association
Radiological Society of North America
Renal Physicians Association
Society for Cardiovascular Angiography and Interventions
Society for Cardiovascular Magnetic Resonance
Society for Investigative Dermatology, Inc.
Society for Vascular Surgery
Society of American Gastrointestinal and Endoscopic Surgeons
Society of Cardiovascular Computed Tomography
Society of Critical Care Medicine
Society of Hospital Medicine
Society of Interventional Radiology
Society of Laparoscopic and Robotic Surgeons
Society of Nuclear Medicine and Molecular Imaging
Society of Thoracic Surgeons
International Pain and Spine Intervention Society
International Pain and Spine Intervention Society
Triological Society, The
Undersea and Hyperbaric Medical Society
US and Canadian Academy of Pathology
American Society for Laser Medicine and Surgery, Inc.
American Academy of Emergency Medicine
State/specialty society staff contact
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
YPS Chair (if applicable)
First Name
Last Name
Address
Street Address
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
YPS Representative #1
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
YPS Representative #2
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
YPS Representative #3
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
YPS Representative #4
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
YPS Representative #5
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
YPS Representative #6
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
YPS Representative #7
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
YPS Representative #8
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
YPS Representative #9
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
YPS Representative #10
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
YPS Representative #11
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
YPS Representative #12
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Submit
Should be Empty: