Doctor Registration

1 Personal Details

First name *

Last name *

Email *

Mobile phone *

CV / Resume

PDF, DOC or DOCX

2 Clinical Profile

Level(s) *

RMO Registrar Consultant

Specialties

Anaesthetics Anaesthetics - GP Cardiology ENT Emergency Emergency - GP Endocrinology Gastroenterology General Medicine General Practice General Surgery Geriatric Medicine Geriatrics Haematology ICU Intensive Care Medical Administration Medical Oncology Neurology O&G Obstetrics Obstetrics and Gynaecology Ophthalmology Orthopaedic Surgery Orthopaedics Other Paediatrics Palliative Care Plastic Surgery Psychiatry Psychiatry - Adult Psychiatry - Child and Adolescent Radiation Oncology Rehabilitation Renal Respiratory Medicine Rheumatology Rural & Remote Consultant Surgery Urology Vascular Surgery

Year of graduation (optional)

Used to calculate post-graduate year (PGY)

3 Credentials

Upload your credentialling documents. If you don't have a National Police Check within the last year, we can assist you in applying for one.

AHPRA Registration Certificate
Medical Board Registration
Medical Indemnity Insurance
National Police Check
Photo ID
Immunisation History
Working with Children Check
Clinical Skills Self Assessment
Criminal Record Stat Dec
ALS Certificate
PLS Certificate
Visa Paperwork (if applicable)

Type

Document

Expiry date

Remove this credential

4 References

Please provide at least two professional referees (a third is optional). Your first referee will receive a Clinical Skills Assessment as well as a Professional Behaviour form. All referees will receive the Professional Behaviour reference check by email.

References already received — do not send email requests

1 Referee 1 Clinical Skills + Professional Behaviour

Full name *

Email *

Position / role

Organisation

Phone

2 Referee 2 Professional Behaviour only

Full name *

Email *

Position / role

Organisation

Phone

3 Referee 3 Optional

Full name

Email

Position / role

Organisation

Phone

Doctor Registration

1 Personal Details

2 Clinical Profile

3 Credentials

4 References

5 Availability (optional)

6 Location Preferences (optional)