Expression of interest to join the drs4drs roster

By filling out this form, you will go on to our Drs4Drs ACT register as a doctor willing to be contacted to join a roster.

First name

Last name

Specialty

Line 1

Line 2

City/Town

State/Province

ZIP/Postal Code

Country

Email address

Mobile number

Responsibilities for the doctor on call include:

providing appropriate immediate care via telephone to a doctor seeking help, which may include referral to other healthcare services.
collect anonymous data on the service provided and return it to Drs4Drs ACT administration for reporting purposes only at the end of your rostered week.

NB: Patient information is not shared with Drs4Drs ACT.

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