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VMP Profile Form

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• VMP Profile Form

Your details

Title*

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e.g. Dr, Prof

(?)

Credential Initials *

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e.g. MBBS (Qld)

(?)

First Name *

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(?)

Surname *

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(?)

Specialty Area *

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(?)

Sub specialties

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(?)

Contact Details

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(?)

Rooms/practice name

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(?)

Telephone Number*

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Please include area code e.g. 07 3834 4444

(?)

Fax Number

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(?)

Email

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(?)

Website address

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e.g. www.yourpractice.com.au

(?)

Practice Manager/Secretary contact details

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(?)

Upload a profile photo

maximum file size 3mb

Background information

Education and Training*

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(?)

Experience

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(?)

When did you begin practising?

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e.g. November 2001

(?)

Sunshine Coast Private Hospital Commencent Date

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e.g. March 2013

(?)

Research

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current or recent

(?)

Memberships

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i.e. professional organisations

(?)

Additional information

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(?)

Market your profile

I would like my VMP Profile details used in hospital marketing material

Also in this section

• Credentialing
• Medical Advisory Committee
• Doctors Search
• GP Education & Events
• Admit or Refer a Patient