Registration Form
Joondalup Health Campus Library fax to (08) 9400 9055
Registration is a 3 step process
.
†
Fill in this Registration Form and submit it online
†
Print out and
SIGN
the Registration Form (this is vital)
†
Give
this signed copy to your Librarian or,
send
it by the most efficient
method
So that we can contact you when necessary;
ALL
fields should be completed.
You will be allocated a personal identification number (PID), which will substitute as your signature on any electronic Library forms.
Logon details and other relevant information will be forwarded as appropriate within a few days.
Please read it carefully. All details are confidential.
First Name
Hospital
Joondalup Health Campus
Last Name
Position
Department
Emergency
Antenatal Clinic
AHGP Clinic
DRAC (Rehab & Aged Care)
Mental Health
1 East (Medical)
1 East (Orthopaedics)
1 West (Cassia)
2 West (Orthopaedics)
Day Procedures
Theatre
Anaesthetics
Critical Care Unit
2 East (Obstetrics & Gynaecology)
Special Care Nursery
2 East (Surgical)
2 West (Banksia)
3 East (Rehab & Aged Care)
Paediatrics
3 West Day Clinic
Renal
Casual Pool
Dietetics
Occupational Therapy
Physiotherapy
Social Work
Speech Pathology
Acute Home Care
After Hours Managers
Clinical Governance
Education
Engineering
Executive
Health Records
Hotel Services
Library
Pastoral Care
Stores
Identify your area of interest?
Administration & Business
Clinical Governance
Nursing (General)
Nursing Administration & Management
Nursing Education
Dietetics
Medical Imaging
Occupational Therapy
Physiotherapy
Social Work
Speech Therapy
Accident & Emergency
Anaesthesiology
Cardiovascular
Critical Care
Ear, Nose & Throat
Gastroenterology
Gerontology
Gynaecology
Medicine (General)
Mental Health / Psychiatry
Neonatology
Neuroscience
Obstetrics
Oncology / Haematology
Ophthalmology
Orthopaedics
PACU - Recovery
Paediatrics
Pain Management
Palliative Care
Pharmacology
Rehabilitation
Renal Medicine
Respiratory Medicine
Sports Medicine
Surgery (General)
Surgery (Day Procedures)
Urology
Other - use note field
Employment details:
Please select an option from each table
Employed as..
Consultant
Medical Staff
Junior Medical Staff
Nursing Staff
Graduate Nurse Program
Allied Health
Administration
Non-Clinical Staff
Status
Consultant
Permanent
On Secondment
On Contract
Casual
Student
Please add any details here ....
Finish date
if not permanent
Contact details:
Email
Home address
Work ph.
Pager
Fax
Home ph.
Mobile
Signature
updated
May 2008