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Practice Membership (7 -11 sites)
A medical, GP, specialist, dental, allied health practice or community health centre which delivers health care may apply to become a Practice Member.
$543.00
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Email Address
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Addresses
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-- select country below to see states --
Australian Capital Territory
New South Wales
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Chile
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France
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Mali
Malta
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Moldova, Republic of
Monaco
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Morocco
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Netherlands
New Caledonia
New Zealand
Nicaragua
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Nigeria
Norway
Oman
Pakistan
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Panama
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Paraguay
Peru
Philippines
Poland
Portugal
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Romania
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Rwanda
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Samoa
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Serbia
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Slovenia
Solomon Islands
Somalia
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Spain
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St.Vincent
Sudan
Suriname
Sweden
Switzerland
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Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
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Address 2
Suburb / Town
Postcode
State
-- select country below to see states --
Country
--
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua & Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia And Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Columbia
Comoros
Congo
Costa Rica
Cote D'ivoire (Ivory Coast)
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guatemala
Guinea
Guinea Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kirabati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Laos, Peoples Democratic Republic of
Latvia
Lebanon
Lesotho
Liberia
Liby An Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macedonia, The Former Republic of Yugoslavia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia, (Federated States of)
Moldova, Republic of
Monaco
Mongolia
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russian Federation
Rwanda
Saint Lucia
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
St. Helena
St.Kitts & Nevis
St.Vincent
Sudan
Suriname
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvula
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
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Job Title
Practice Manager
Office Manager
General Manager
Operations Manager
CEO
Practice Owner
Director
Consultant
Receptionist/Administrator
Practice Nurse
Medical Practice Assistant
N/A - Retired
Other (please specify)
General Practitioner
Doctor
Practice Principal
Employer
Position Held
How Long in this Position?
Reason for joining?
--
Further Eduction
Networking Options
Professional Development
Event and Conference Opportunities
Other - If other please complete below:
Other reason for joining?
Practice Name
Practice Type
General Practice
Specialist
Allied Health
Dental
Multi-Disciplinary Practice
Community Health
Super Clinic
Aboriginal Health Service
Primary Health Network
Health Industry Business
Practice Management Consultancy
Hospital
Not Managing a Practice
Number of Practitioners
1 to 5
6 to 10
11 to 15
16 to 30
30+
Number of Nurses
None
1 to 5
6 to 10
11 to 15
16+
Not Known
Number of Support Staff
1 to 5
6 to 10
11 to 15
16 to 30
30+
Payment
Fees Due
Joining Fee:
complete home address to see fee
Membership Fee:
complete home address to see fee
Discount Code
IMPORTANT NOTE: The first instalment payment for your membership, and payment for any selected membership add-ons and joining fees, will be deducted immediately.
Payment Method
Card
Pay on Invoice
NOTE: A surcharge of 1.70% is added to all Credit Card transactions.
NOTE: A surcharge of 1.70% is added to all bank account direct debit transactions.
Account Name
BSB
Account Number
Important!
Your application will not be confirmed until payment has been received by Head Office.
On completion of this registration an invoice will be emailed to you. Please follow the payment instructions on the invoice to finalize payment.
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