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Supporting Occupational Health Nurses

Membership Form - Full Member (Nurse)

SPECIAL OFFER - NEW MEMBER NURSES

For a limited time, nurses who join in 2021 pay only $288 - that's a 20% saving! Apply below.

Thank you for your interest in becoming a member of ANZSOM! For information about membership benefits, click here.

To apply, simply follow the instructions and complete the form below.

Instructions:

Fully complete each step (Step 1 to 3) before submitting the form
The current discounted price for nurses for the year (1st April 2021 to 31st March 2022) is $288
New members joining before April 2021 will not need to renew until 2022
From October 2021, a prorata rate is also applicable (50%)
Remember to attach your Curriculum Vitae
Submit your form. Membership applications are forwarded to the relevant state branch for consideration / approval (up to two weeks to process).
Once approved, the Secretariat will send you a link to pay your membership online. You will have the option of paying via EFT or credit card.
Once payment has been provided, the Secretariat will send you a letter of approval and member log-in details.

Complete your details (steps 1 to 3):

Step 1 - Contact Details
Step 2 - Areas of practice & expertise
Step 3 - Public Directory

Title

Firstname

Surname

Email

Organisation

Occupation

If other, please specify below

Other Occupation

Preferred Contact Number

Fax

Preferred Mailing Address

Suburb

State

Postcode

Country

If Other Country

Curriculum Vitae

Languages spoken (other than English)

Pandemic expertise

Workplace pandemic planning / workplace policy

Personal protective equipment

Facility management

Ergonomics / working from home advice

Mental health impacts

Sickness absence and return to work

Coronavirus (COVID-19) campaign resources

Training

Areas of Practice

Fitness for work assessment

Pre placement health assessments

Injury management/ workplace rehabilitation

Employee Assistance Program

Workers compensation

Independent medical examination/ medico-legal

Travel health / Q fever immunisation

Musculoskeletal health / ergonomics

Environmental health / safety management systems / risk assessments

Biological monitoring / chemical exposure

Alcohol and other drugs / medical review officer

Health promotion / wellness programs

First aid

Industry Expertise

Aviation

Transport other

Underwater diving

Oil, gas and mining

Other (please specify below)

Other industry expertise

Public Directory Listing

Yes

No

If yes - please complete all details below

Occupation category

Doctor

Nurse

Other

Contact name

Business name

Business address

Business phone

Business fax

Business Email

Business Website

I agree to have my details saved