Member Information Update

Membership update

Please provide your updated information below. Ensuring your details are up-to-date is crucial for maintaining appropriate coverage and compliance with Ahpra registration requirements.

What is your Member Number?*

Have you completed your fellowship?* Yes No

What date did you commence practice in the capacity of a Specialist? *

What is your Field of Practice?* Refer to the attached Risk Category Guide (RCG)

Please select the option that appropriately describes your workplace *

What are your expected Gross Annual Billings from the date you commenced private specialist practice to the end of the current policy period 30 June 2024?*

What date are you anticipating fellowship completion?*

I have read and acknowledge I may be contacted by an MDA National representative using the details provided, in accordance with MDA National's Privacy Policy

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For any questions, contact our Member Services team on 1800 022 255 or peaceofmind@mdanational.com.au.

Member Information Update

Membership update

Please provide your updated information below. Ensuring your details are up-to-date is crucial for maintaining appropriate coverage and compliance with Ahpra registration requirements.

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