Follow the steps to successfully complete your application form.

1. Press the ‘Get Form’ button to access the application form and load it in your chosen editing environment.
2. Begin by selecting the PMA Facility you are applying for by ticking the appropriate box: Chatswood Private Hospital, Epping Surgery Centre, or Central Coast Day Hospital.
3. Ensure that your application is fully completed and include the necessary documentation as detailed in the form. These include: a separate CV, copies of postgraduate qualifications, college fellowship, current medical defence organization membership, medical registration certification, AHPRA restrictions if applicable, and a 100-point identification check.
4. In the category and scope of practice section, indicate your application for accredited practitioner by ticking the appropriate categories and scopes of practice, specifying any specialties and sub-specialties.
5. Fill in your personal details accurately, including your name, title, date of birth, and contact information. Make sure to provide your residential and practice addresses.
6. Detail your qualifications and current and past appointments, ensuring to list any professional associations you are a member of.
7. Provide references from three professional colleagues who can attest to your practice. Ensure they meet the requirements outlined in the form.
8. Submit your current registration details with AHPRA, including uploading your registration certificate.
9. Confirm your current medical indemnity insurance status, indicating compliance with the required levels and providing a copy of your insurance documentation.
10. Complete the disclosure section by answering questions about any restrictions, past refusals, adverse findings, or criminal history, providing necessary details.
11. Nominate a qualified accredited practitioner to act on your behalf in emergencies by filling in their name and contact information.
12. Review all provided information for accuracy and completeness before signing the confirmation section and providing the date.
13. Once all sections are filled out, you can save, download, or share your completed application form according to your needs.

Complete your AU PresMed Application for Appointment as an Accredited Practitioner online today for a smooth accreditation process.