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Thank you for being a valuable part of LMSA! Please use this form to request a change to your membership expiration date. This form will be evaluated by the LMSA National Membership Team as soon as possible, generally within TWO (2) months of submission.

Frequently Asked Questions

Who should complete this form?
Students who have registered for a four-year membership but anticipate taking longer to complete their training. Students pursuing multiple degrees (e.g. MD/PhD) are especially advised to complete this form. This form cannot be used to extend annual (one-year) memberships.

How do I check my membership expiration date?
Please visit our membership site and select "Already A Member?" at the top of the page. Use the email address associated with your membership to log in. Once logged in, you should see your membership tier and expiration date.

I have more questions. Who do I contact?
Please reach out to membership@lmsa.net.

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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Current Institution

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* 5. LMSA Region

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* 6. Current Membership Tier

(extensions cannot be applied to annual memberships)

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* 7. Dates in Question

Date
Date

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* 8. Reason for Extension

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* 9. Terms & Conditions: By submitting this form, you acknowledge that:

-you are already a dues-paying member of LMSA National;
-your membership is currently active (i.e. it has not expired already);
-the information submitted herein is truthful and accurate;
-the decision to extend memberships shall occur at the sole discretion of the LMSA National Membership Team; and
-should this information change, you alone are responsible for contacting the Membership Team at membership@lmsa.net notifying them of any updates as soon as possible.

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