Australian Surgical Assisting

ASSISTANTS

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, 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 queries@australiansurgical.com.au 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:

Email:

Postal Address:

Next of Kin:

Relationship:

Phone Number:

Upload CV:

Upload Referees:

Upload Medical Registration:

Upload Copy of Medical Indemnity:

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