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Need a Doctor?

Are you a Hospital or General Practice in need of a Doctor? Sign up today and let AMP search for you!

Hospital/General Practice Sign-Up Form
*Required Fields
Full Trading Name* (Trading name can only be edited later by AMP staff)
Contact Name*
(if you are a combined rural hospital and GP please tick both boxes)

Login Details
User Name*

(must be at least 4 characters)
Confirm Password*  

Contact Details
Address* Postal Address
Suburb* Postal Suburb
State* Postal State
Postcode* Postal Postcode

Phone 1* Phone 2
Fax 1 Fax 2

More Details
Computer Packages
Solo Practice RRMA Score
Has Nurses DWS
Travel Paid AON Rural
Accommodation Paid Outer Metro
Possible On Call Distance & Direction From CBD*
(eg 75km North of CBD)