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					ALLIED HEALTH ASSOCIATE & AFFILIATE MEMBERSHIP INFORMATION

TABLE OF CONTENTS

WELCOME ..................................................................................................................... 3 QUEENSLAND DIVISIONS – AN OVERVIEW ............................................................................ 3 SOUTH EAST ALLIANCE OF GENERAL PRACTICE ...................................................................... 3 ALLIED HEALTH PROFESSIONALS ........................................................................................ 4 WHAT ARE THE ADVANTAGES OF JOINING SEA-GP FOR INDIVIDUALS AND BUSINESSES? ................ 4 ASSOCIATE MEMBERSHIP .................................................................................................. 5 SUBSCRIPTION FEES ........................................................................................................ 5 AFFILIATE MEMBERSHIP ................................................................................................... 6 SUBSCRIPTION FEES ........................................................................................................ 6 HOW DO I JOIN? ............................................................................................................. 7 ASSOCIATE MEMBERSHIP RENEWAL .................................................................................... 7 ASSOCIATE MEMBERSHIP APPLICATION FORM ....................................................................... 8 SEA-GP (BRISBANE) MEMBERS PUBLISHED CONTENT FORM (INDIVIDUAL)…………………………….9
AFFILIATE

MEMBERSHIP APPLICATION FORM………………………………………………………….10

SEA-GP (BRISBANE) MEMBERS PUBLISHED CONTENT FORM (ORGANISATION)………………………..11
ASSOCIATE/AFFILIATE MEMBERSHIP

MEMBERSHIP REFERRAL FORM…………………………………………………..12

REGION POSTCODE AND SUBURB LIST………………………………………………………13

SEA-GP (Brisbane) Associate/Affiliate Membership

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ASSOCIATE AND AFFILIATE MEMBERSHIP INFORMATION PACK
WELCOME Dr Ian Williams, President The South East Alliance of General Practice (SEA-GP), Brisbane is strongly committed to improving patient health outcomes and believes this can be achieved by forming new partnerships through Associate and Affiliate Membership with Allied Health Professionals in the SEA-GP (Brisbane) region. The SEA-GP (Brisbane) Board also believes through improved linkages and communication between GPs and allied health care providers, SEA-GP (Brisbane) Associate and Affiliate Membership will offer new and exciting opportunities to provide quality patient care in our region. The Board and staff of SEA-GP (Brisbane) look forward to welcoming Allied Health Professionals into the Alliance.

QUEENSLAND DIVISIONS – AN OVERVIEW Divisions are local networks of General Practitioners, established in 1992 by the then Commonwealth Department of Health and Aged Care to promote the role of general practice within the wider health care system. There are currently 119 Divisions of General Practice throughout Australia, with 19 Divisions located in Queensland. Divisions in Queensland are represented at the national level by the Australian Divisions of General Practice (ADGP), and at the state level by the Queensland Divisions of General Practice (QDGP). SOUTH EAST ALLIANCE OF GENERAL PRACTICE The South East Alliance of General Practice (SEA–GP) Brisbane is the newest Division to join the Queensland Division‟s network. The Alliance came into being as a result of the amalgamation of Brisbane Inner South Divison (BISDIV) and Bayside GP Division. Associate Membership was introduced to BISDIV in 2002. The mission statement for the South East Alliance of General Practice (SEA-GP) Brisbane is to improve the health and well being of our community through excellence in General Practice and Primary Care through advocacy, support and quality The (Company) SEA-GP (Brisbane) was established with the purpose of promoting the prevention and control of disease in humans, through:  Assisting all members of General Practices to enhance their skills, through the provision of appropriate information, training and education;  Assisting other health care providers in similar ways to those contemplated above, and through application of the above.  Promoting community awareness of disease and the prevention of illness. One of the Alliance‟s main strategies to achieve these goals is to maximise partnership opportunities through a range of formal partnership agreements with existing and new partners.
SEA-GP (Brisbane) Associate/Affiliate Membership Page 3 April 2007

Please find on page 10 of this information pack details of postcodes and suburbs that make up the SEA-GP region. ALLIED HEALTH PROFESSIONALS Associate and Affiliate membership is currently open to the following Allied Health Professions: Audiologists Physiotherapists Psychologists Speech Pathologists Dietitians Podiatrists Registered Nurses Occupational Therapists Pharmacists Social Workers

WHAT ARE THE ADVANTAGES OF JOINING SEA-GP (BRISBANE) FOR INDIVIDUALS AND BUSINESSES? ASSOCIATE/AFFILIATE MEMBERS: The primary purpose of Associate (individual) and Affiliate (business) Membership is to encourage Allied Health Professionals to become involved in the Alliance, to work towards improving primary health care outcomes in the region through improved linkages and communication between health care providers.

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Professional networks and educational support

A high priority at SEA-GP (Brisbane) is to continue developing strong networks within the health care profession via formal and informal gatherings. A great strength of the Alliance is the involvement and interaction of Members at the local level. This allows the flow of information to be focussed on the issues affecting the primary health care arena in the SEA-GP (Brisbane) locality. The Alliance offers its Members opportunities to attend formal and informal networking and educational events scheduled year round. These events provide real and varied opportunities to network and upskill; to build primary health care connections and most importantly, interact with GPs, PNs and practice staff and other Allied Health Professionals who share similar challenges.

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Referrals

Your membership will also widen your referral basis through greater exposure to, and contact with, local GPs through Alliance activities and the SEA-GP (Brisbane) Allied Health Associate/Affiliate Membership Database.

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Information

Regular updates and fax outs together with the SEA-GP (Brisbane) bi-monthly newsletter, SEAbreeze, will ensure you are on top of what's happening in the Alliance and at Regional, State and National levels. Membership forms: Associate membership forms are located on page 7 and Affiliate membership forms are located on page 8 of this information pack.

SEA-GP (Brisbane) Associate/Affiliate Membership

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ASSOCIATE MEMBERSHIP Associate membership of SEA-GP (Brisbane) offers practising Allied Health Professionals an opportunity to develop and /or improve networks with GPs and other Allied Health Professionals. Opportunities also include:          Direct access to SEA-GP (Brisbane) GP Members for referrals Inclusion on the SEA-GP (Brisbane) Associate Membership Referral Database* Invitation to Alliance workshops, seminars and GP Events free of charge Access to the Alliance‟s Professional Development Scheme, which involves funding support to attend Conferences, seminars or courses. Informal and formal Special Interest Networks which will provide opportunities to meet like-minded peers, and learn from experts and innovators who are leaders in their field One (1) invitation (for two people) to the SEA-GP (Brisbane) AGM Dinner (total value $200) Timely access to relevant information and opportunities being provided through Commonwealth Government Health initiatives Access to the SEA-GP (Brisbane) resource library Subscription to our regional newsletter, the SEAbreeze (5 issues per year), including a full event guide and feature articles outlining what's happening in the Alliance (total value $50) One (1) free ¼ page advertisement and one (1) half price ¼ page advertisement annually, in the SEAbreeze newsletter to promote your business directly to GPs and other Allied Health Professionals (total value $107.25) Personal Membership fees are tax deductible

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Total value of Membership: $347.50 *Please note: to be included on the referral database or our website you must complete the SEA-GP (Brisbane) Members Published Content Individual/Personal Details form. Associate/Affiliate membership does NOT include:   Eligibility to become a member of the Board Voting rights

Associate/Affiliate membership fees are not refundable. SUBSCRIPTION FEES

2007 ASSOCIATE MEMBERSHIP FEES
Fee Full Yr $150 Joining Fee $10 Total Due (incl GST) 2007 $176 Total Due (incl GST) 2008 $165

Category Associate Member per person

Membership valid until December 2007

A total investment of $176.00 is due on application. This includes a joining fee of $10. The total price includes GST and is non-refundable.
SEA-GP (Brisbane) Associate/Affiliate Membership Page 5 April 2007

AFFILIATE MEMBERSHIP This category of membership is for businesses, employing three (3) or more Allied Health Professionals, who want to add GP networking and developing General Practice partnerships to their business structure. SEA-GP (Brisbane) is committed to providing allied health businesses access to primary health care resources, research, training, and the opportunity to network with GPs and peers. Affiliate membership will create opportunities for you and your allied health employees to attend Alliance workshops, seminars and GP events, and to be kept abreast of current health trends in primary health care. Benefits of SEA-GP (Brisbane) Affiliate Membership      Direct access to SEA-GP (Brisbane) GP members for referrals Inclusion on the SEA-GP (Brisbane) Associate Membership Referral Database* Invitation to Alliance workshops, seminars and GP events for Principal and one staff member free of charge. Others can be arranged at cost. Access to the Alliance‟s Professional Development Scheme, which involves funding support to attend Conferences, seminars or courses. Access to informal and formal Special Interest Networks, where your employees can meet like-minded peers and learn from experts and innovators who are leaders in their field Invitation to the SEA-GP (Brisbane) AGM Dinner for two (2) representatives (total value $200) Timely access to relevant information and opportunities being provided through Commonwealth Governments Health initiatives Access to the SEA-GP (Brisbane) resource library Subscription (2 copies per business) to our regional newsletter, the SEAbreeze (5 issues per year), including a full event guide and feature articles outlining what's happening in the Alliance (total value $100) Two (2) free ¼ page advertisements annually in the SEAbreeze newsletter to promote your organisation directly to GPs and other Allied Health Professionals (total value $143) Affiliate Membership fees are tax deductible

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Total value of Membership: $430.00 *Please note: to be included on the referral database or our website you must complete the SEA-GP (Brisbane) Members Published Content Individual/Personal Details form. SUBSCRIPTION FEES Affiliate Membership rates are determined by the number of employees in your business. Membership can be as low as $352 (GST incl.) per year for a business with less than seven (7) employees. To find out what the subscription rate would be for your business, refer to the Affiliate Membership Fee Schedule below or call the Associate Membership Consultant on 3840 6150.

2007 AFFILIATE MEMBERSHIP FEES
Category A. Affiliate 3 – 6 persons B. Affiliate 7 or more persons Fee Full Yr Joining Fee Total Due (incl GST) 2007 $352 Total Due (incl GST) 2008 $330

$300

$20

Price on Application (POA)

$50

$POA

$POA

Membership is valid until December 2007
SEA-GP (Brisbane) Associate/Affiliate Membership Page 6 April 2007

HOW DO I JOIN?  Complete and post the application form included in this Associate Membership Information Pack, together with your CV to the Membership Services Consultant, South East Alliance of General Practice, Brisbane, PO Box 8004, Woolloongabba Q 4102

or  Email your completed application form to admin@seagp.org.au or fax your completed application form to (07) 3844 7275 with your attached CV.

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Join in person at SEA-GP (Brisbane). No appointment is necessary but please call the Alliance on 3840 6150 and ask for directions.

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Join on-line at www.seagp.org.au, by following the prompts under „Membership‟ and emailing the completed Application form to admin@seagp.org.au.

The Membership Consultant will contact you after the Board has approved your application to request payment. Please make cheques payable to “The South East Alliance of General Practice (Brisbane) Ltd”.

SEA-GP (BRISBANE) BOARD The SEA-GP (Brisbane) Board of Directors will assess all membership applications for approval. Under the Constitution the Board has the right to refuse any applications they deem to be from unsuitable applicants. The Board may also terminate any membership if that membership is deemed to have a negative impact on the Alliance. The decisions however, will not contravene any common law or other government legislation.
REQUEST FOR FURTHER INFORMATION ON ASSOCIATE/AFFILIATE MEMBERSHIP

To request more information about Associate or Affiliate Membership, call the Alliance on 3840 6150 and speak to the Membership Consultant. REFER A MEMBER Do you know someone who would benefit from a SEA-GP (Brisbane) Associate/Affiliate Membership? If you have an allied health colleague/s or know of an allied health business that would be interested in SEA-GP (Brisbane) Associate/Affiliate Membership please fill in the referral form on page 9. Your referral would provide others with the opportunity to realise the many benefits and privileges that SEA-GP (Brisbane) Associate/Affiliate Membership has to offer. On receipt of your referral form we will contact your allied health colleague/s and forward them a copy of the SEA-GP (Brisbane) Associate Membership kit. In appreciation of your efforts to refer others, you and the allied health colleague/s you referred will automatically go into a bi-monthly prize draw to win two (2) movie tickets. Winners will be notified by mail and published in the SEAbreeze newsletter. ASSOCIATE MEMBERSHIP RENEWAL Renewal notices will be forwarded 1 month prior to the expiry of your annual subscription.

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 Woolloongabba Office PO Box 8004 Woolloongabba Q 4102 Tel: 07 3840 6150 Fax: 07 3844 7275 ASSOCIATE MEMBERSHIP APPLICATION FORM 2007 Name: Occupation: Position: Qualifications: Business name: ABN Number: Postal Address: Practice Address: Telephone (b/h): Facsimile (b/h): Mobile: Email: Medicare Provider Number Brief description of your duties: How did you hear about Associate Membership?

 Capalaba Office 2/27 Mount Cotton Road Capalaba Q 4157 Tel: 07 3390 2466 Fax: 07 3823 1408  Capalaba Office

Personal Information will be collected in accordance with our Privacy Statement (copy available on request).

My preferred method of communication is:

 FAX  MAIL  E-MAIL
Please return to the Associate Membership Consultant along with a brief 1-2 page Curriculum Vitae.

OFFICE USE ONLY

□ □ □

BOARD APPROVAL…………………………………… TAX INVOICE SENT…………………………………… PAYMENT RECEIVED……………………………..

□ ENTERED IN DATABASE…………………… □ CERTIFICATE SENT…………………………. □ N/L & REFERRAL LIST UPDATED………….
April 2007

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SEA-GP (Brisbane) Members Published Content Individual/Personal Details
The South East Alliance of General Practice (Brisbane) Ltd is pleased to offer our valued members the option of publishing their details on our website and on our referral list as an Associate Member. To ensure we publish the correct details which will be accessible by anyone with internet access, we ask that you complete your details in the form below. To ensure SEA-GP (Brisbane) manages information in line with the Privacy Act requirements, we require this form to be completed prior to publishing your details. Please note that not all fields are required to be completed. Only complete those areas that you are happy to be published in the public domain with the details you wish. Name: Profession: Qualifications:

 Pharmacist  Psychologist  Physiotherapist  Counsellor

 Podiatrist  Clinical Psychologist  Social Worker  Other

 Dietitian  Speech Pathologist  Exercise Physiologist

Business/Practice name: Business/Practice Address: Telephone: Facsimile: Mobile: Email: Brief description of the services you offer: Medicare Provider: Medicare Provider:

 (For EPC referrals)  (For Better Access to Mental Health Care Initiative referrals)

I _________________, acknowledge I have provided the details on this form for the purpose of it being published on the SEA-GP (Brisbane) website. I further acknowledge that it is my responsibility to inform SEA-GP (Brisbane), if and when, these details change. Signature: Date:

Please return the completed Members SEA-GP (Brisbane) Website Content – Individual/Person Details form to the Membership Consultant by: Mail to: SEA-GP (Brisbane) Membership Consultant PO Box 8004 Woolloongabba Qld 4102 Fax to: 07 3844 7275

SEA-GP (Brisbane) Associate/Affiliate Membership

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 Woolloongabba Office PO Box 8004 Woolloongabba Q 4102 Tel: 07 3840 6150 Fax: 07 3844 7275 AFFILIATE MEMBERSHIP APPLICATION FORM Business Name: Manager Name and title: Key Contact Person: Position: Postal Address: Practice Address: Telephone (b/h): Facsimile (b/h): Mobile: Email: ABN Number: Name, Position, Medicare Provider Number and qualifications of Allied Health employees
(Please attach separate sheet if more than 6 members)

 Capalaba Office 2/27 Mount Cotton Road Capalaba Q 4157 Tel: 07 3390 2466 Fax: 07 3823 1408  Capalaba Office

1. 2. 3. 4. 5. 6.

Brief description of your business: How did you hear about Affiliate Membership?
Personal Information will be collected in accordance with our Privacy Statement (copy available on request).

My preferred method of communication is:

 FAX  MAIL  E-MAIL

Please return to the Associate Membership Consultant along with a brief 1-2 page Curriculum Vitae.

OFFICE USE ONLY

□ □ □

BOARD APPROVAL………..………………………………….

TAX INVOICE SENT…………………………………… PAYMENT RECEIVED……………………………..
Page 10

□ ENTERED IN DATABASE…………………… □ CERTIFICATE SENT…………………………. □ N/L & REFERRAL LIST UPDATED…………
April 2007

SEA-GP (Brisbane) Associate/Affiliate Membership

SEA-GP (Brisbane) Members Published Content Organisation Details
The South East Alliance of General Practice (Brisbane) Ltd is pleased to offer our valued members the option of publishing their details on our website and on our referral list as an Affiliate Member. To ensure we publish the correct details which will be accessible by anyone with internet access, we ask that you complete your organisation details in the form below. To ensure SEA-GP (Brisbane) manages information in line with the Privacy Act requirements, we require this form to be completed prior to publishing your details. Please note that not all fields are required to be completed. Only complete those areas that you are happy to be published in the public domain with the details you wish.

Services Offered:

 Pharmacist  Psychologist  Physiotherapist  Counsellor

 Podiatrist  Social Worker  Other

 Dietitian  Exercise Physiologist

 Clinical Psychologist  Speech Pathologist

Business/Practice name: Business/Practice Address: Telephone: Facsimile: Mobile: Email: Brief description of the services you offer: Medicare Provider: Medicare Provider:

 (For EPC referrals)  (For Better Access to Mental Health Care Initiative referrals)

As the ___________________ [position/title], I __________________ [name], acknowledge I have provided the details on this form for the purpose of it being published on the SEA-GP (Brisbane) website. I further acknowledge that it is my responsibility to inform SEA-GP (Brisbane) if and when these details change. Signature: Date:

Please return the completed Members SEA-GP (Brisbane) Website Content – Organisation Details form to the Membership Consultant by: Mail to: SEA-GP (Brisbane) Membership Consultant PO Box 8004 Woolloongabba Qld 4102 Fax to: 07 3844 7275

SEA-GP (Brisbane) Associate/Affiliate Membership

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 Woolloongabba Office PO Box 8004 Woolloongabba Q 4102 Tel: 07 3840 6150 Fax: 07 3844 7275

 Capalaba Office 2/27 Mount Cotton Road Capalaba Q 4157 Tel: 07 3390 2466 Fax: 07 3823 1408  Capalaba Office

REFERRAL FORM: ASSOCIATE/AFFILIATE MEMBERSHIP REFERRAL

Your name: Your Profession: Your contact telephone number: Your associate/ affiliate member number: REFERAL DETAILS Name: Position: Business: Telephone (b/h): Mobile: Associate or Affiliate membership?
Personal Information will be collected in accordance with our Privacy Statement (copy available on request).

 Yes, I have advised my colleague that I have recommended them to SEA-GP
(Brisbane) for membership. Could you please forward them the Associate/Affiliate membership kit?

No, I have not advised my colleague that I have recommended them to SEA-GP
(Brisbane) for membership. Could you please let them know when you make contact?

Please return to the Associate Membership Consultant.

SEA-GP (Brisbane) Associate/Affiliate Membership

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SOUTH EAST ALLIANCE OF GENERAL PRACTICE, BRISBANE
MEMBERSHIP REGION POSTCODE AND SUBURB LIST

DIVISION NAME

POSTCODE

POSTCODE SUBURBS

SOUTH EAST ALLIANCE OF GENERAL PRACTICE, BRISBANE

4101 4102 4103 4104 4105 4120 4151 4152 4153 4157 4158 4159 4160 4161 4163 4164 4165 4169 4170 4171 4172 4173 4178 4179 4183 4184

HIGHGATE HILL, MATER HILL, MATER HOSPITAL, SOUTH BANK, SOUTH BRISBANE, WEST END BURANDA, DUTTON PARK, WOOLLOONGABBA ANNERLEY, FAIRFIELD, FAIRFIELD GARDENS, YERONGA CLIFTON HILL, MOOROOKA, TENNYSON, YEERONGPILLY GREENSLOPES, STONES CORNER COORPAROO CAMP HILL, CARINA, CARINA HEIGHTS, CARINDALE, WHITES HILL BELMONT CAPALABA THORNESIDE BIRKDALE ORMISTON, WELLINGTON POINT ALEXANDRA HILLS CLEVELAND THORNLANDS MT COTTON, REDLAND BAY, VICTORIA POINT EAST BRISBANE, KANGAROO POINT CANNON HILL, COLMSLIE, MORNINGSIDE, NORMAN PARK, SEVEN HILLS BALMORAL, BULIMBA, HAWTHORNE MURARRIE TINGALPA LYTTON, WYNNUM, WYNNUM NORTH, WYNNUM WEST LOTA, MANLY, MANLY WEST DUNWICH, POINT LOOKOUT MACLEAY ISLAND, RUSSELL ISLAND

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