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Request for AAO Retired Status

Eligibility requirements: Orthodontists who are fully retired, are AAO members in good standing at the time of retirement, and have been members for at least 15 cumulative years (excluding student membership), may transition to retired status, and enjoy the privileges of membership at no cost.

Please complete the form below to apply for AAO retired membership status. Once the form is submitted and eligibility is verified, the application will be forwarded to your constituent organization for approval. For questions, please contact [email protected].

Name*
First Last
AAO Member ID (if known)
Email Address*
Primary Phone
Primary Phone Type
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Do you wish to retain your AJO-DO subscription? (The current rate is $39 per year. AAO will send you an invoice and you may cancel at anytime.)
- Yes
- No
Date of Retirement*
MM slash DD slash YYYY
Please insert any additional details you would like to share about your retirement status.
Certification by the Applicant
By completing the signature line below, I affirm that I have completely retired from the active practice of orthodontics and request AAO retired membership status. I will notify the AAO or my constituent organization immediately if I return to practice.
Signature*
Signature Date*
MM slash DD slash YYYY
Name
This field is for validation purposes and should be left unchanged.

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Request for AAO Retired Status

Certification by the Applicant