asms mEMBERSHIP FORM

Join ASMS or update your details

1Personal Information

2Primary workplace

3Seconday workplace

4Subscription

Primary workplace

Employer(Required)

If you don't see your employer listed, please select OTHER

You have selected Health New Zealand as your employer, if you work for a Te Whatu Ora district eg Taranaki, please go back and select your district.

ABI Rehabilitation Workplace(Required)

ACC Workplace(Required)

Anteris NZ Workplace(Required)

Te Whatu Ora - Te Toka Tumai Auckland Workplace(Required)

Te Whatu Ora - Hauora A Toi Bay of Plenty Workplace(Required)

New Zealand Blood Service Workplace(Required)

Te Whatu Ora - Waitaha Canterbury Workplace(Required)

Counties Medical Integrated Health Workplace(Required)

The Doctors Workplace(Required)

Sexual Wellbeing Aotearoa(Required)

Harbour Hospice Trust Workplace(Required)

Te Whatu Ora - Te Matau a Māui Hawke's Bay Workplace(Required)

Te Whatu Ora - Capital, Coast & Hutt Valley Workplace(Required)

Ngati Whatua O Orakei Workplace(Required)

Te Whatu Ora - Lakes Workplace(Required)

Te Whatu Ora - Te Pae Hauora o Ruahine o Tararua MidCentral Workplace(Required)

Te Whatu Ora - Nelson Marlborough Workplace(Required)

Nelson Bays Primary Workplace(Required)

Te Whatu Ora - Te Tai Tokerau (Northland) Workplace(Required)

Ngati Porou Hauora Workplace(Required)

New Zealand Clinical Research Workplace(Required)

Primary Health Care Workplace(Required)

Pegasus Health Charitable Trust Workplace(Required)

Ministry of Health Workplace(Required)

Te Whatu Ora - Counties Manukau Workplace(Required)

Southern Community Laboratories Workplace(Required)

Te Whatu Ora - Southern Workplace(Required)

Te Whatu Ora - Taranaki Workplace(Required)

Te Aka Whai Ora - Māori Health Authority Workplace(Required)

Te Whatu Ora - Waikato Workplace(Required)

Te Whatu Ora - Waitematā Workplace(Required)

Te Whatu Ora - Whangnaui Workplace(Required)

WellSouth Primary Health Network Workplace(Required)

Te Whatu Ora - Te Tai o Putini West Coast Workplace(Required)

National Hauora Coalition Workplace(Required)

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Workplace

Department(Required)

Please enter the department you work in within your workplace

Workplace(Required)

Please enter the name of your workplace

Workplace Address(Required)

Street Address Address Line 2 City ZIP / Postal Code Country

Employment commencement date(Required)

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Date Joined

Weekly hours at this employer(Required)

This field is hidden when viewing the form

Is CA?(Required)

Yes

Add another workplace?(Required)

Yes

Secondary Workplace

Second Workplace Employer(Required)

You have selected Health New Zealand as your employer, if you work for a Te Whatu Ora district eg Taranaki, please go back and select your district.

Second Workplace

ABI Rehabilitation Workplace(Required)

ACC Workplace(Required)

Anteris NZ Workplace(Required)

Te Whatu Ora - Te Toka Tumai Auckland Workplace(Required)

Te Whatu Ora - Hauora A Toi Bay of Plenty Workplace(Required)

New Zealand Blood Service Workplace(Required)

Te Whatu Ora - Waitaha Canterbury Workplace(Required)

Counties Medical Integrated Health Workplace(Required)

The Doctors Workplace(Required)

Sexual Wellbeing Aotearoa(Required)

Harbour Hospice Trust Workplace(Required)

Te Whatu Ora - Te Matau a Māui Hawke's Bay Workplace(Required)

Te Whatu Ora - Capital, Coast & Hutt Valley Workplace(Required)

Ngati Whatua O Orakei Workplace(Required)

Te Whatu Ora - Lakes Workplace(Required)

Te Whatu Ora - Te Pae Hauora o Ruahine o Tararua MidCentral Workplace(Required)

Te Whatu Ora - Nelson Marlborough Workplace(Required)

Nelson Bays Primary Health Workplace(Required)

Te Whatu Ora - Te Tai Tokerau (Northland) Workplace(Required)

Ngati Porou Hauora Workplace(Required)

New Zealand Clinical Research Workplace(Required)

Primary Health Care Workplace(Required)

Pegasus Health Charitable Trust Workplace(Required)

Ministry of Health Workplace(Required)

Te Whatu Ora - Counties Manukau Workplace(Required)

Southern Community Laboratories Workplace(Required)

Te Whatu Ora - Southern Workplace(Required)

Te Whatu Ora - Taranaki Workplace(Required)

Te Aka Whai Ora - Māori Health Authority Workplace(Required)

Te Whatu Ora - Waikato Workplace(Required)

Te Whatu Ora - Waitematā Workplace(Required)

Te Whatu Ora - Whangnaui Workplace(Required)

WellSouth Primary Health Network Workplace(Required)

Te Whatu Ora - Te Tai o Putini West Coast Workplace(Required)

National Hauora Coalition Workplace(Required)

Second Workplace Department(Required)

Weekly hours at second employer(Required)

Second Workplace(Required)

Please enter the name of your second workplace

Second Workplace Address(Required)

Street Address Address Line 2 City ZIP / Postal Code Country

asms mEMBERSHIP FORM

PERSONAL INFORMATION

Primary workplace

Secondary Workplace

Subscription