New Member Feature

Congratulations on choosing to become a member of the Metro Omaha Medical Society. We would like to feature you in the New Members column of the Physicians Bulletin magazine.

The magazine is distributed to 3,000+ people throughout the medical community and will is a great way to for your fellow physicians members to get to know you.

Simply complete the form below and upload your photo. Your feature will appear in the next available issue of the Physicians Bulletin magazine.

Physicians Bulletin New Member Feature Submission

"*" indicates required fields

Full Name (Include MD, DO, etc.)*

Medical School*

Residency Program*

Residency Specialty*

Fellowship Location

Fellowship Specialty

Office/Clinic Name

Tell Us About Yourself

Please include something unique about yourself outside of your professional background (hobby, book you've recently read, fun adventure you've had, etc.) Please provide more than just professional information so that readers get to know you.

PHOTO: Please attach a recent color head shot (preferably a hi-res, color, professional photo).

Drop files here or

Max. file size: 300 MB.

NOTE: Images saved off of a website will be too low of resolution.

Phone

This field is for validation purposes and should be left unchanged.

Physicians Bulletin New Member Feature Submission

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