ASAPS Members - ANZBCPS Board Certified Cosmetic Plastic Surgeons

My Name(Required)

First Last

My Qualifications (Post Nominals)(Required)

My AHPRA Registration Number(Required)

My Email Address(Required)

Clinic Name (if applicable)

Address:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone:(Required)

Email:

Website:

I confirm that I meet the Eligibility Criteria set out in the Rules for use of the Certification Trademark, being that I:(Required)

have been admitted as a Fellow of RACS specialising in plastic and reconstructive surgery

am registered as a specialist in plastic surgery by AHPRA or MCNZ (as applicable)

am of good repute and have generally conducted myself professionally having regard to the Code of Ethics

am currently active and practice cosmetic plastic surgery

am a current and approved member of Australasian Society of Aesthetic Plastic Surgeons

am currently subscribed with RACS as my CPD home.

have completed this year's RACS CPD Requirement

Please specify the year in which you were awarded RACS Fellowship(Required)

Upload evidence of completion/attendance for one CPD activity specific to cosmetic surgery in 2024

Max. file size: 100 MB.

Please note submission of this form will confirm:(Required)

All above information and documents I have submitted are true and unaltered.

Application Form for ASAPS Members