Online Membership Request

UNDERGRAD STUDENTS FOR 2021 PLEASE NOTE: Do not use this form to join the library, please contact the library first for information about joining.

Personal Details

Membership Number (Barcode)

Personal Details

Family Name

First Name

Preferred Email Address

Direct Work No.

Personal Contact No.

Employment Details

Position

Department/Team/Ward

Name of Mental Health Parent Organisation / Service

Name of the clinic / building / hospital you work in?

Work Street Address

Suburb

Postcode

Would you like to sign up for the Mental Health eBook Newsletter? CLICK HERE

Current Place of Work

Work Street Address

Suburb

Postcode

Library Card & Membership Conditions

PLEASE NOTE: All personal informaiton provided to the Library is kept confidential.

I agree to the following membership conditions:
- To respect the Library's rules of use, including the prompt return of items and proper care of Library resources, and to report lost/stolen cards or items to Health Sciences Library immediately.
- To pay replacement costs plus processing charges for any items lost, stolen or damaged.
- To abide by the Australian copyright regulation and relevant licensing agreements.