Members include dermatologists, dermatology residents, paramedical office personnel associated with a dermatologist, pharmaceutical representatives or exhibitors, dermatology advanced practice providers (nurse practitioners and physician assistants), and non-LGBT allies including residents and other members.

After submitting an application, verification of credentials will be performed through the American Academy of Dermatology membership database or other pertinent society. Please note a society(US or International) affiliation with your application if you are not a current member of the AAD. New members will then receive a welcome email with information to establish a user ID and password for access to the "Member's only" sections of the website.

If you encounter issues during this process, please email us at membership@glderm.org.

Click here for Online Contributions and Dues

Please fill out the form below to request membership access to the site.

Membership Details
Firstname:
Middle Initial:
Lastname:
Degree:
Mailing Address:
City/Town:
State/Province:
Zip/Post Code:
Country:
Email Address:
Phone:
Category:	DermatologistResident DermatologistParamedicalPharmaceutical Representative or ExhibitorDermatology NurseDermatology Nurse Practitioner or Physician AssistantResident AllyOther Ally (non-LGBT dermatologists or other affiliates)Other
Training Completion:	Note: Please enter the year your training will be complete
Dermatologist:	Note: You must enter a Dermatologist for verification of employment
Occupation:	Note: You must also enter your occupation
Supervising Physician:	Note: Please include credentials and name of supervising physician
Graduation Year:	Note: Please enter your year of graduation
Affiliation:	Note: Please include affiliation
Other:	Note: Please enter a value for your category
Company:	Note: Please enter the company you work for
Passkey:	Existing Members: Enter the passkey you received via mail to automatically be granted access to the Members Only section of the site. New Members: Leave this field blank.