2019 HPMI Complimentary Membership

AVAILABLE TO HEALTH STUDENTS, INTERNS, RMOs and GP TRAINEES

• FREE REGISTRATION AT MOST HPMI EVENTS
• Two Health Selective Bursary prizes @ $500 each are awarded annually for best Health Equity Selective report from medical
students who are HPMI Members

-----------------------------------------------------------------
INDIVIDUAL PAID MEMBERSHIP (click here)
GROUP PAID MEMBERSHIP (click here)

Question Title

* 1. Contact Name

Title

Given Name

Surname

Preferred Name

Question Title

* 2. Preferred Mailing Address

Address 1:

Address 2:

City/Town:

State/Territory:

Post Code:

Email Address: (needed for meeting notification) *

Mobile Number: *

Question Title

* 3. I am a:

General Practice Trainee

Junior Medical Officer - RMO or Intern

Health Student

GP Trainee please specify your Practice,
JMO or Student please specify Year and Type for 2019

Question Title

* 4. Do you wish to receive a copy of HPMI's 2018 Annual Report?

Yes

Thank you for completing the membership form.

Your membership will be activated once the form is received and processed.

If you have any queries please email: Tracy.Hicks@newcastle.edu.au