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Accredited Rejoin Application

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If ATMS does not have your documentation and qualifications on record, we will request them from you. These must be provided, and documents will need to be certified if they are not already.

Rejoining Requirements:

    • 5–10 Years of Rejoining: You must provide evidence of both CPE activity and relevant work experience.
    • More than 10 Years of Rejoining: If you cannot provide work references or proof of active membership with another association verifying your work in that time, you will be required to provide a new qualification.
1800 456 855 Fax (02) 9809 7570
Suite 12/27 Bank St Meadowbank NSW 2114

"*" indicates required fields

Have you been known under any other name(s)
Mailing Address*
DD slash MM slash YYYY
Max. file size: 100 MB.
Max. file size: 100 MB.
Listing on Find A Practitioner: If yes, your full street address(es) may be displayed on the ATMS website.
Mobile Service
Home Visits
Have you been a previous member of ATMS?*
Under which modality do you wish to be accredited?
(Members can only be listed for modalities they are qualified and provide qualification/s with their application. All modalities must have stand-alone qualifications)
Under which modality do you wish to be accredited?
Select Membership Cycle: Upon approval of your application by ATMS, we will reach out to you regarding payment.*
Max. file size: 100 MB.
Max. file size: 100 MB.
Max. file size: 100 MB.
Max. file size: 100 MB.
Max. file size: 100 MB.
Max. file size: 100 MB.
Do you wish for the ATMS to send your details (such as your name, member number, phone number(s), clinic and email addresses, and accredited modalities) to applicable Health Funds?
IMPORTANT: Please be aware that some Health Funds may subsequently list your details on their public websites.
I have completed and attached the ATMS Health Fund Declaration Form with this application?
NOTE: This form is available on the ATMS website. https://www.atms.com.au/health-fund-declaration/
I have read, understood and agree to abide by the Terms and Conditions for Health Fund Provider status as listed on the ATMS website
Clinic 1 Address
Clinic 2 Address
Clinic 3 Address
Clinic 4 Address
Have you ever been convicted of a criminal offense, had a complaint reviewed by a complaints or disciplinary body, been suspended or expelled from an association, or been investigated, suspended, or deregistered as a provider by a health fund?
Consent*
Clear Signature
DD slash MM slash YYYY