CSGPN Membership Application Subscription

Online registration for the website is for new membership applications only. Existing members will have been sent a personalised renewal invoice in the mail. 

Join Central Sydney General Practice Network (CSGPN) if you practice within the local government areas of Ashfield, Burwood, Canada Bay, Canterbury, Leichhardt, Marrickville, Strathfield and the southern and western statistical local areas of the Sydney local government area.

Please enter information on the form below to process your CSGPN Membership Application. The cost of this membership is $110.00 per membership year.

Download a Membership Application form if you prefer to handle offline.

If you are unsure of your membership status, or require a copy of your renewal invoice, please contact our Membership Support team on 9799 0933 or email Sue Moxon.

Account Information

Title *
Title
Gender *
Gender
CSGPN constitution *
CSGPN constitution

Practising GP

I am registered with the Medical Board of Australia *
I am registered with the Medical Board of Australia
I am vocationally registered *
I am vocationally registered

Practice Manager

I am a member of Australian Association of Practice Managers or similar organisation
I am a member of Australian Association of Practice Managers or similar organisation

Nurse

I am a
I am a
I am registered with the Nursing and Midwifery Board of Australia
I am registered with the Nursing and Midwifery Board of Australia

Aboriginal Health Care Worker

I am an Aboriginal or Torres Strait Islander Person
I am an Aboriginal or Torres Strait Islander Person
I am employed in a position that requires an Aboriginal or Torres Strait Islander Person
I am employed in a position that requires an Aboriginal or Torres Strait Islander Person
I provide health services or health programs directly to Aboriginal or Torres Strait Islander people in either a generalist or specialist position
I provide health services or health programs directly to Aboriginal or Torres Strait Islander people in either a generalist or specialist position

Payment Information

$
Payment Method
Credit Card
Expiration Date*
Expiration date /

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