In order to fulfill your request, we ask that you please fill out and submit the
information in the form below so that we may begin processing your membership
information. Membership is free of charge; however, donations to the chapter are always welcome.
Please click here for more information.
You may click here to review CT Chapter Membership benefits and information.
** As always, you have our personal guarantee that this information will be kept private &
confidential and will only be used for the purposes of our membership benefits and
services! This includes sharing your name and address with the national United Spinal
office. If you do not wish to submit this information over the Internet, you may call
the CT Chapter directly at (203) 284-2910 and request that a Membership form be sent to
you via regular mail.**