Membership Registration

Start your application for membership using the multi-page form below.

Please fill out as many fields as possible in order for us to understand who you are and what you do. If you do not fill out enough fields in the application, you will be contacted in order to get this information and this will delay your application process until the information is provided. Before you start filling out the on line application, take a look at the information required on each page of the form so that you can complete the form in one sitting. It is not possible for you to go back and fill in data later, without filling out all the fields again.

Upon approval of your application, you will be required to make a $75 annual payment. The fee may be paid by cheque, payable to OARM, or by credit card using the online "Pay Membership Dues" link. Your membership will only become active after approval of application and receipt of the registration fee.

SALUTATION:*
FIRST NAME:*
LAST NAME:*
PRIMARY WORK EMAIL:*

For security purposes, please type the two words in the challenge shown below; you may also receive a new challenge or select an audio challenge. With reCAPTCHA, you help digitize books by deciphering text which cannot be read by computers.
SUPERVISOR'S TITLE:*
TITLE:*
DEPARTMENT:*  
COMPANY NAME:*
ADDRESS:*
CITY:*
PROVINCE:*
POSTAL CODE:*
WORK PHONE:* EXT:
WORK FAX:
DISCIPLINE:
TYPE OF FACILITY:*
VENDOR/CONSULTANT
EMPLOYEES:
EXAMS / YEAR:
BEDS:
# OF SITES:
DATE JOINED:  
BUYING GROUP:
SEND MAIL TO:
ADDRESS:*
CITY:*
PROVINCE:*
POSTAL CODE:*
SEND EMAIL TO:
HOME PHONE:*
HOME FAX:
HOME EMAIL:
RADIOGRAPHY
ULTRASOUND
MAMMOGRAPHY
BMD
NUCLEAR MEDICINE
CT
ANGIO
MRI
CR
DR
LABORATORY
RESPIRATORY
PACS
VENDOR FOR ULTRASOUND:*
VENDOR FOR CT:*
VENDOR FOR ANGIO:*
VENDOR FOR MRI:*
VENDOR FOR CATH LAB:
VENDOR FOR CR:*
VENDOR FOR DR:*
RIS:
HIS:
 
 
PACS VENDOR:*
PACS VERSION:
CMRTO
OAMRT
CAMRT
CARDUP
OSDMS
ARDMS
OTHER PROFESSIONAL GROUPS:
DEGREES, CERTIFICATIONS:
I AM A WORKING TECHNOLOGIST
I AM A UNION MEMBER
UNIONS IN YOUR DEPARTMENT:
OPSEU
OPSEU CLERICAL
ONA
CUPE
AAHPO
PARA
SEIU SERVICE
SEIU CLERICAL
OTHER UNIONS:
DISCIPLINARY ACTION
BUDGET CONTROL
HIRING STAFF
PERFORMANCE MANAGEMENT
POLICY SETTING
STAFF SUPERVISION
    * Denotes a required field