Title - None -Dr.Mr.Ms.Miss.Assoc. Prof.Prof. First Name Last Name Email Mobile Phone AHRPA Number You may leave this blank if you don't have a AHRPA number for a valid reason (retired, etc) Specialty AnaesthetistCardiologistCardiothoracic SurgeonChild PsychiatristDermatologistDoctor in Training (including hospital medical officers and GP trainees) Emergency PhysicianEndocrinologistGastroenterologistGeneral SurgeonGeneral PhysicianGPGeriatricianHaematologist ImmunologistIntesivistMaxillofacial SurgeonMedical AdministratorMedical StudentMicrobiologistNeonatologistNephrologistNeurologistNeurosurgeonNuclear PhysicianOBGYNOccupational PhysicianOncologistOphthalmologistOrthopaedic SurgeonOtorhinolaryngologistPaediatric SurgeonPaliative MedicinePathologistPhysicianPlastic SurgeonPsychiatristRadiologistRehabilitation PhysicianResp. PhysicianRetired DoctorRheumatologistSports PhysicianSurgeonUrologist You may select multiple specialties by holding the CONTROL key and clicking on the applicable specialties. Practice Name Practice Address Practice Postcode Practice State Practice Website Address Practice Preferred Contact Details Add a telephone, or an email address Membership Type - Select -Standard member of HMSA ($110 + GST per year)Corresponding Member ($0) Membership Length in Years - None -1 Test 8 + 1 = test test