Virginia Society of Anesthesiologists

Printable Application

Please click here for a membership application in PDF format. You will notice it is an ASA application; the VSA uses the same application.

Please complete the application and send it to the VSA at 2209 Dickens Road, Richmond, VA, 23230-2005.

Active members may also apply online through ASA, who will then forward to the VSA:

Online Application