Hire Doctors From The Practitioner Hub

Submit the form below and we’ll reach out to connect your clinic with the right international doctors.

Register Your Clinic

Please fill out all the applicable information in this form. All fields with * are required.

Clinic Information

Location Details

Main Contact Person

Clinic Overview

Consent

Clinic Information

Full Clinic Name*

Trading Name (if different)

Clinic Logo Upload*

Upload File

Max file size 10MB.

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Accreditation Certificate (If Applicable)

Upload File

Max file size 10MB.

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ABN

Clinic Website URL

Location Details

Country*

State / Territory*

City / Suburb*

Street Address

Postal Code*

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Main Contact Person

Full Name*

Role/Title*

Email*

Phone Number*

WhatsApp Number (optional)

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Clinic Overview

Clinic Type*

Number of Doctors Currently Working (approximate)

Do you offer Visa Sponsorship?

Yes

Do you offer Supervision for IMG doctors?

Yes

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Consent

I confirm all information is accurate*

I consent to being contacted by The Practitioner Hub*

I agree to TPH terms and privacy policy*

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