Australian Medical Locum

Australian Medical LocumWelcome to Australian Medical Locum, one of Australia’s oldest & most experienced Locum Agencies. With a focus on friendly, efficient, personal service, Australian Medical Locum can assist you with all of your locum needs.

We specialise in the placement of medical doctors. We look after placements from short term locum contracts to mid, long term and permanent positions. Our main client base includes general practices and private and public hospitals throughout the geographical regions where we operate. However, we occasionally pick up interesting roles with cruise ships, oil companies, medical repatriation organisations, pharmaceutical and medical device companies and private clinics in sleep medicine, day cosmetic surgery and occupational medicine.

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PERSONAL INFORMATION

 
First Name: *
Surname: *
Preferred Name:
Date of Birth: *
Country of Birth: *
Gender: *
Email Address: *
Address: *
City: *
State: *
Postal Code: *
Country: *
Contact Mobile Number: *
Contact Phone Number:
Do you have an ABN?: *
ABN (Australian Business Number):
Registered for GST?:
Residency Status: *
Languages spoken (other than English):
Do you have an Australian Police Clearance?:
 
 
 

EDUCATION, QUALIFICATIONS AND EXPERIENCE

 
Primary Medical Qualification: *
At which University / Institution did you complete your Medical Degree?: *
Country: *
Date of Completion: *
Do you have any Secondary / Specialist Qualifications?: *
Please list how much experience you have had in the following areas. Please ensure you complete ALL the boxes. If you have had no experience in that area, please put '0'.
 
 
Years * Months *
Emergency Department Experience: *
Paediatrics Experience (Including Exposure in ED): *
General Practice Experience: *
Do you have an ALS (Advanced Life Support) Certificate?: *
Where are you currently employed?:
Are you in a GP Training Program?:
 
 
 

MEMBERSHIPS AND REGISTRATION

 
Are you currently registered with AHPRA?: *
Have there been any adverse findings against you? E.g. Medicare fraud or professional misconduct?: *
Do you have a Prescriber Number?: *
Do you have Medical Professional Indemnity Insurance?:
Are you a member of the RACGP?:
Are you a member of the ACRRM?:
 
 
 

OTHER

 
Where did you hear about our service?: *
What is your preferred location of work?: *
 
 
Preferred Start Date:
First Referee Job Title: *
First Referee Name: *
First Referee Contact Number: *
First Referee Email Address: *
Second Referee Job Title:
Second Referee Name:
Second Referee Contact Number:
Second Referee Email Address:
Do you have any other comments? (limit 250 characters):
Please upload your CV in PDF format only (file size should be less than 5 MB): *