Register as an Assistant

Join Melbourne Surgical Assistants today

Joining MSA is quick and easy. We have kept the paperwork to a minimum, to save you time. You can join online or we can email a registration pack to you.

Personal Details
Name*
Email*
Mobile*
Where do you want to register?*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Banking (So we can pay you)
Bank
Account Name
BSB
Account Number
Credit Card (So you can pay us)
Bank (No Amex or Diners sorry)
Name on Card
Credit Card Number
Expiry Date
CVV
Specialties
Specialties you prefer to assist for
Specialties you don't assist for
Availability
In Hours Availability
Out Hours Availability
Hospitals at which you are accredited
Referee 1
Name
Phone
Email
Position
Referee 2
Name
Phone
Email
Position
Referee 3
Name
Phone
Email
Position
Documents to Attach
Resume
Resume
Max. file size: 128 MB.
Medical registration
Medical registration
Max. file size: 128 MB.
Medical indemnity certificate
Medical indemnity certificate
Max. file size: 128 MB.
Provider number application form
Provider number application form
Max. file size: 128 MB.
Agency agreement
Agency agreement
Max. file size: 128 MB.
Captcha

Why Assistants Work With MSA

MSA takes care of the administrative burden of running your practice
We can help with hospital accreditation and health fund registration
Access to a pool of high quality assisting work

Join Melbourne Surgical Assistants today

Personal Details

Banking (So we can pay you)

Credit Card (So you can pay us)

Specialties

Availability

Referee 1

Referee 2

Referee 3

Documents to Attach

Contact Details:

Why Assistants Work With MSA