PSOPRS 25 Years

APPLICATION FORM

Application Form


QUALIFICATIONS FOR MEMBERSHIP TO PSOPRS

Membership in the Society shall be limited to a licensed ophthalmologist who fulfills the following:
  1. Completed Post-Graduate Fellowship in Ophthalmic Plastic and Reconstructive Surgery for a minimum cumulative period of 12 months.
  2. Committed to indulge in the practice, research and teaching of Ophthalmic Plastic and Reconstructive Surgery 
  3. Has good moral character, reputation, ethical and professional standing
  4. A diplomate of the Philippine Board of Ophthalmology
  5. A member in good standing of the Philippine Academy of Ophthalmology
  6. Who meet such other qualifications as described in the By-laws of the Society
 
REQUIREMENTS FOR APPLICATION*
  1. Completely filled out PSOPRS Application Form (https://goo.gl/forms/dcu9Yq5g0YEPRKby2) **
  2. Passport size or 2x2 colored picture (attached to Letter of intent)
  3. Letter of Intent addressed to the current PSOPRS President (Raoul Paolo D. Henson,MD)
  4. Updated Curriculum Vitae
  5. Letter of Recommendation from 2 Fellow members in good standing
  6. Application Processing Fee: php 1,500.00
  7. Copy of the following documents:

    • Medical School Diploma
    • Updated PRC ID
    • Certificate of Residency in Ophthalmology
    • Certified True Copy of Certificate of Fellowship 
      • The original certificate may be presented and a copy may be submitted after being certified by the current Chairman of the Membership Committee
    • PBO Certificate as Diplomate in Ophthalmology
    • PAO Certificate of Membership and Good Standing
*Email a soft copy of requirement 2-7 to psoprs.official@gmail.com