Thank you for your interest in becoming a member of MEDSAC.
Please note that by submitting this membership/subscription form you are agreeing to abide by the MEDSAC Member Code of Conduct as specified on this website.
Doctor / Nurse Details:
MEDSAC Affiliate Applicants only.
Please provide in the message box above - Details of Referee (fellow clinician)
Name, Phone, Email, Position
And answer: "What is your clinicial interest in the area of Sexual Assault medicine?"