Date of referral

VMO EXPRESSION OF INTEREST

Psychiatrists, Psychiatric Registrars, and Specialist Physicians have a unique opportunity to work with Australia’s leading specialty private health service operator.

Aurora Healthcare, offer multiple doctor opportunities to suit various stages of practice, ensuring flexibility and support for your professional journey. Aurora Healthcare, collectively, targets a broad range of specific diagnostic areas, making us the expert and leader in mental health, rehabilitation, general medical, oncology, palliative care and renal specialties.

For a confidential discussion on our available opportunities, please fill in your details below and the hospital Executive Assistant will contact you with a e-credentialing link.

You can also contact the hospital CEO directly below.

Andrew Blyth
CEO / Executive General Manager (Vic/WA)
South Eastern Private Hospital
T +61 3 9549 6555 F +61 3 9562 3486
E andrew.blyth@aurorahealth.com.au

Personal Details

Given name *

Family name *

Phone Number *

Personal Email *

Which hospital are you currently credentialled to? *

Accreditation/Scope of Practice

AHPRA number *

Expiry Date

Other

Are you under a moratorium?

YesNo

Specialty area

Professional membership or other credentials

Do you have any conditions, undertakings, or reprimands against your current health practitioner registrations?

YesNo

Have your clinical privileges and/or appointment at any hospital or day procedure centre ever been reduced, suspended or revoked or have you had conditions attached to that appointment for any reason?

YesNo

Has your Scope of Practice been restricted, suspended, not renewed or had any written recommendations made against your accreditation at any other health care facility?

YesNo

Have you previously been refused credentialing at another health care facility?

YesNo

If you answered yes to any of the above, please provide details, including dates if relevant

Would you like to be contacted for a confidential discussion?

YesNo

Or, would you like to be sent the e-credentialing link?

YesNo

Authority

Name

I confirm that the above information I have provided is true, complete and accurate *

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