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:
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):
RMO (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 (2019 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
Annual 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

 

Please select your preferred payment option

One Off PaymentMonthly Direct DebitAnnual Direct Debit

CREDIT CARD DETAILS

Card Type: VisaMastercardDinersAmex
Card Number:
Expiry Date:
Name on Card:

If you select this option, you will be redirected to a secure payment gateway that can accept Visa, MasterCard, AMEX and Diners Club payments.

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

OR

Please select your preferred payment option

One Off PaymentMonthly Direct DebitAnnual Direct Debit

BANK ACCOUNT DETAILS

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.


Type the text in the text box: captcha 

Please ensure all above information is correct prior to submitting.

 

Have Your Say

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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
“Dads and partners, take your leave”
Dr Peter Xiao
Monday, 18th March 2019

The birth of a new child is an exciting, stressful and wonderful period for a family. It is an important time for both parents to bond with their baby and adjust to the practicalities of a newborn. Societal precedents and …