VicREN Membership Form

VicREN is for people interested in primary care research and education. Membership is free and without obligation.

If you wish to become a member, please complete the form below:

Primary care providers, please provide your workplace address
Primary care providers, please provide your workplace address
Primary care providers, please provide state of your workplace
Primary care providers, please provide your workplace postcode
(Must be provided to receive e-bulletins)

What are your areas of interest? *

Would you like to know more about being part of an advisory or special interest group? *
Do you already supervise, or are you interested in supervising, medical students at your practice? Note: We only accept as supervisor General Practitioners who are working at an accredited GP clinic and who are themselves accredited either as a Fellow of RACGP or ACRRM or are vocationally registered.