Thank you for your interest in Australian Surgical Assisting.

Please complete the online registration form. This should be uploaded with a copy of your CV, photo ID, details of at least two referees (including their email contacts), a copy of your current medical registration and a copy of current medical indemnity. Alternatively, you can email your documents to or fax to 07 3839 4098.

Following receipt of your documentation you will be contacted by the office regarding your application.

Name:   Preffered Title: (Mr, Dr):
Home Tel:   Pager No:
Mobile:   Other Contacts No:
Postal Address:
Next of Kin:
Relationship: Phone Number:

Upload CV:
Upload Referees:
Upload Medical Registration:
Upload Copy of Medical Indemnity:

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