ACIIDS Membership Application
The Australian Chronic Infectious and Inflammatory Disease Society (https://www.aciids.org.au) is a group of medical and health practitioners looking for the underlying causes of chronic illness, utilising a healing-oriented medicine approach that takes account of the whole person, including all aspects of lifestyle. ACIIDS emphasise the therapeutic relationship between practitioner and patient, are informed by evidence, and makes use of all appropriate therapies.

ACIIDS offers the following membership options:

Full Membership ($60 until April 2024, $190 per year thereafter)
  • Open to doctors and dentists
Associate Membership ($50 until April 2024, $170 per year thereafter)  
  • Open to nurses, nurse practitioners, naturopaths, and other allied health professionals (psychologists, dietitians, nutritionists, chiropractors, osteopaths etc.) who have completed an accredited tertiary course and have work experience in integrative/holistic/functional medicine.
Benefits of membership: 
  1. Access to the ACIIDS email list where you can ask questions and share case studies with some of Australia's leading integrative health practitioners.
  2. Access to new ACIIDS webinars, every six to eight weeks
  3. Savings on the ACIIDS annual conference.
  4. Access to the member area of the ACIIDS website where you can access webinars and other materials dating from 2014.
  5. Voting privileges at the annual general meeting (full membership only).

Sign in to Google to save your progress. Learn more
Email *
Are you a registered medical/dental practitioner or another type of health practitioner? *
GENERAL INFORMATION
Name *
Date of birth *
MM
/
DD
/
YYYY
Phone (office)
Phone (mobile) *
Practice (street address)
Practice (suburb) *
Practice (postcode)
QUALIFICATION INFORMATION
University or school attended *
Qualification attained *
Year attained *
Medicare provider/Health practitioner license number *
Other qualifications
SPECIAL INTEREST INFORMATION
Special interest areas *
CONSENT TO BE  A MEMBER
I (a) consent to become a member of Australian Chronic Infectious and Inflammatory Disease Society Limited; and (b) agree to comply with the constitution of the company provided to me on the date of this consent
Type name *
Date *
MM
/
DD
/
YYYY
Your application will be sent to the board for approval. If approved you'll be emailed details for payment. Please email support@aciids.org.au with any questions.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms