Register for a Private Affair

Location

Contact Details

First Name

Last Name

Email address

Mobile number

Current Employment

Current position

If Other, please advise current position:

Employer / Hospital

Duration of Employment? From:

DayMonthYear

Qualifications

At what tertiary institution did you complete your primary medical degree?

If Other, please provide name of tertiary institution.

What year did you graduate?

What Specialty training have / are you undertaking in Australia?

What is your sub-specialty (if any)?

When were / will you be awarded your Fellowship?

Location of Interest

Please provide information on your preferred location / hospital of interest (if known)

For a list of Ramsay Health Care hospitals in Australia, please click HERE

Catering

To assist with catering on the night, please advise if you have any specific dietary requirements?

If Other, please advise

Future Communication

Are you happy to receive ongoing communication from Ramsay Health Care with regards to private practice opportunities?

A Private Affair