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):

Other (please give details):

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 (2017 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


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:
Type the text in the text box: captcha 

Please ensure all above information is correct prior to submitting.

 

Have Your Say

Do you support the TGA's decision to make codeine-based medicines prescription only?




View Results

Loading ... Loading ...
Why I Joined the AMA (WA)...
"I joined the AMA for all the advocacy work that is done. It is great to be part of an organisation that supports and assists doctors in training in many aspects of their work."
Dr Sarah Strathie Page
Dr Sarah Strathie Page
Blog
Time for Change
Dr Omar Khorshid
Tuesday, 1st August 2017

The crisis of staff morale and culture at Princess Margaret Hospital has brought into sharp focus just how bad it can get when hospital executives fail to engage their doctors, nurses and other staff. Everyone recognises that executives are under …