Application form – WMC membership

Complete the form below to apply for Weight Management Clinic (WMC) membership to the National Association of Clinical Obesity Services.

Use this form to apply for these membership levels:

  • Full Membership WMC – $200 (inc GST) per annum

Privacy Policy

The National Association of Clinical Obesity Services (NACOS) is bound by and committed to supporting the Australia Privacy Principles (APPs) set out in the Australian Privacy Act 1998 and the EU General Data Protection Regulation (GDPR). NACOS reserves the right to modify or amend privacy and copyright statements at any time, provided those modifications or amendments comply with applicable laws. 

All inquiries in regard to NACOS should be directed to info@nacos.org.au 

 

Terms and conditions

Please ensure you read and understand the membership terms and conditions before applying.

Application form - WMC

1. How would you best describe your service?

2. Please select all service providers directly involved in your service

5. What types of patients do you see in your clinical obesity service/centre?

6. Is this based on

7. Do you have criteria for referral acceptance?

9. Do you have criteria for discharging patients back to their regular GP?

11. What types of services/appointments/education do you provide at your clinical obesity service/centre?

13. Are you currently involved in an obesity network with any other services to improve support to people with or at risk of obesity?

16. Would your service ben interested in collaborating obesity care with other level of clinical obesity services/centres?

17. Would your service be interested in having your contact information visible via our find a service search portal?

18. Are there any current project(s)/research initiatives occurring within your clinical obesity service/centre?

20. Would your clinical obesity service/centre be willing to share the outcomes of the project/research and any associated policies/procedures/models of care with NACOS?

25. Please select the health care profession of the nominated NACOS member

26. NACOS Membership Newsletter and Updates

27. I agree to the NACOS terms and conditions and privacy policy

13 + 15 =

 

Please note: Your membership application is not valid until you have successfully completed the entire process, and received a success message on screen.