About you

Please note that this application will require you to provide documentary evidence for ONE of the following criteria.
1. Substantial experience as a practitioner with responsibility for the management of patients with hepatitis B.
2. Completion of at least one year full time (or equivalent) supervised advanced training in a relevant area
3. Completion of 40 half-day sessions (or their equivalent) in a specialised HBV treatment unit/Liver clinic with access to a senior on-site HBV physician or practitioner and other direct supervision or peer review of case management.

If you have any questions please contact HBVPrescriber@ashm.org.au

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* 1. First name

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* 2. Last name

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* 3. Email (personal)

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* 4. Mobile (personal)

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* 5. Languages other than English that you speak with your patients

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* 6. Position

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* 7. Main service setting

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* 8. Which states/territories do you wish to prescribe in?

Please note: Only select the states/territories which you currently practice or participate in locum work. ASHM will not pursue the additional state/territory accreditation until the home state is approved.

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