As a Medical Order, SMOKH [Pronunciation] has a rank structure of chivalric custom, conferring titles and decorations (medals) to denote service or achievement. Promotions include ceremonies, apostolic blessings, achievements of merit, and recognition of titles. All promotions reviewed by the Sovereign Council and require approval of the Grand Master. Promotions are won by achievement and charity. This means that active, involved Members enjoy promotions up through the ranks, with the ultimate achievement of Chevalier or Dame of Honor bestowed by the Council and Spiritual Protector upon those who selflessly serve Humanity.
Levels of Membership

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| Associate Membership (Postulant): As an ecumenical Order, membership of the Sacred Medical Order is by invitation to both men and women who are of good character and standing in their community, want to learn about our sacred medicines, and who wish to help suffering mankind. This invitation usually comes from one of our active members, and from the leadership of the Sovereign Council. We extend our fraternal hand by offering associated membership online, by filling out our preliminary application. Interested prospective members who desire ascending rank must provide a personal curriculum vitae, and have a favorable personal interview by at least one Knight or Dame of the Order. Those who wish passage then complete the required application forms, which are then vetted by the Sovereign Council. Should the applicant win approval by the Council and the Grand Master, the applicant is then invited to join the order as a Titular Member (Generosus/Cultural Attaché), and will be registered and recognized at the grade of Physician, Emissary, Missionary, Pastor, or Counselor, etc. by a Recognition Certificate(s). |
| Generosus/Generosa: The term gentleman in its original and strict signification, denotes a well-educated man of good family and distinction, analogous to the Latin generosus. A gentlewoman in the strict sense is a woman of good family, analogous to the Latin generosa. The Title is conferred to the Titular Member upon completion of a short online course [Popup Overview] in Chivalry and Sphere Sovereignty. That course is made available to the Postulant upon associated membership registration. The Title is granted upon completion of the short course. |
| Cultural Attaché: The third level of membership. The candidate for Chevalier takes a short, online course [Popup Overview] in Diplomacy. A Certificate of Recognition an an international driving permit (license) is issued. |
| Recognition: Recognition certificates go to individuals for their titles issued by others. At this stage the Titular Member is seeking full membership into the Order and has submitted a CV. Recognition certificates are issued to members who hold a title(s). Receiving recognition is part of the application process for becoming a member Chevalier. Additionally, in all cases we expect documentation of service to humanity such as charity, volunteer work, donations, etc. Popup Overview |
Chevalier (Knight): A Medical Ministry & Fellowship Group preserving the sacred medical knowledge with its application towards charity. Full membership in the Order is by investiture and the accolade (also known as dubbing or adoubement), the central act in the rite-of-passage ceremonies conferring knighthood. A spiritual anointing by a Bishop of the Order is part of the Ordination. A bishop ordains a person into the Order, anoints and give blessings, and to receive vows. A missonary diplomatic passport is issued along with cape (mantle) and full regalia.
Members are required to abide by our code of chivalry and donate to the Orders works. There is an initial passage fee and annual donation. The one-time passage covers costs of investiture, church donation, regalia (insignia, mantle, certificates) and other fees assessed for postulants being invested into the Order, and for standing Members achieving promotion. Details are provided upon preliminary application. |
| Sovereign Council: The Sovereign Council is the government of the Order. It is composed of the Grand Master, the Lieutenant Grand Master, the holders of the High Offices of the Sovereign Council - Grand Commander, Grand Chancellor, Grand Hospitaller, Grand Bailiff, Grand Prior, and others so appointed. |
| SMOKH is a registered charity in Ecuador where it maintains a mission camp in Loma Linda. |
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