Join the AMA

Join the AMA

 

The Australian Medical Association (AMA) is the national voice of medical practitioners from all medical disciplines at every stage of their medical career. It is the only national body that serves and unites Australia’s doctors.

 

Our core strengths include providing doctors with advocacy, representation, workplace relations and industrial support, practice management advice and clinical tools and resources. Our online application is your gateway to the privileges and benefits of AMA membership. Use this completely secure form to complete your application for AMA membership.

 

I hereby apply to be elected a member of AMA (WA).

 

View AMA (WA) Privacy Policy

 

Personal Details


Preferred Title: *
Surname: *
Given Names: *
Preferred Name:
Sex: MaleFemale
Date of Birth: *
Email Address: *
Mobile Phone: *
ASMOF Membership: I do not wish to be a member of ASMOF
Please provide the name under which you are registered as a practitioner.
A confirmation email of your application will be sent to the address you provide here.

Contact Details


Private Address: *
Suburb & Postcode: *
Phone: *
Fax:
   
Practice 1 Name: *
Address: *
Suburb & Postcode: *
Phone: *
Fax:
   
Practice 2 Name:
Address:
Suburb & Postcode:
Phone:
Fax:
   
   
Send Mail To: Private AddressPractice 1Practice 2

Previous AMA Membership


Year:
State:

Qualifications


Primary Degree

Qualification:
Date:
Place:

Higher Degree

Qualification:
Date:
Place:

Type of Practice


Private Practice

General Practitioner

Specialist (specify):

Salaried Practice


General Practitioner

Specialist (specify):

Registrar (specify area & level):

ROM (specify area & level):

Intern

Retired

Student (specify university & year):

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Current Work


Current Contract: Full TimePart TimeSessional
Other (please specify):
Current Hospital:

Other Details


Specialties:
Medical Interests:
Languages:
(Please list up to 6 languages spoken other than English)
Spouse's Name: (if an AMA member)



How did you hear about AMA Membership

Medicus

Direct mail from the AMA

AMA event

University

Advice from Professional College

Colleague referral

Other (specify):

Total Subscription Payable (2018 Rates)


Subscription rates are pro rata. Please note, monthly direct debit does not incur additional fees.

Membership Category:
Single Payment Chosen
Monthly Direct Debit Chosen
Please select your preferred payment option.

Method of Payment


Please note: While encouraging all medical practitioners to join the AMA, there are strict limits on the access to membership services for those who seek to join the AMA (WA) with pre-existing problems and unresolved disputes. For those members seeking assistance in relation to a problem that arose prior to the time they joined AMA (WA) no assistance will be granted. To view our AMA (WA) Benefits and Services Access Policy, please click here

 

Credit Card(Full Annual Amount)

Card Type: Visa Mastercard Diners Amex
Card Number:
Expiry Date:
Name on Card:

To pay by phone, please call (08) 9273 3055, and have your credit card ready.

Direct Debit from Bank Account(Monthly)

Account Name:
BSB Number:
Account Number:

Note: Direct debiting is not available on the full range of bank accounts.

If in doubt please refer to your bank.

Direct Debit from Credit Card (Monthly)

Card Type: Visa Mastercard
Card Number:
Expiry Date:
Name on Card:
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Please ensure all above information is correct prior to submitting.

 

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Why I Joined the AMA (WA)...
"It is my hope that we can tackle the challenges our profession faces, united as one. If we dislike our working hours, our pay, gender inequality or low training opportunities, we can change these together. As a nurse in my previous life, I know that when a profession stands as one, people listen."
Dr Rebecca Cogan
Dr Rebecca Cogan
Blog
Caring for the dying is our greatest challenge
Dr Omar Khorshid
Wednesday, 6th December 2017

With the passing of euthanasia and physician assisted dying legislation by the Victorian Parliament earlier this week, the issue is now sure to travel West. In fact, this subject is likely to dominate public and medical debate next year. Already …