Register Interest

Thank you for your consideration to join My Mirror, we will contact you within 2-3 business days.

First Name

Last Name

Phone Number

Email address

AHPRA Number

Classification

Clinical PsychologistGeneral PsychologistNeuro PsychologistDevelopmental PsychologistForensic PsychologistOther

Please upload your resume

Drag and drop or browse files to upload

How many years experience

Please only include years from full registration.

Medicare Better Access

Do you have experience delivering MHTP sessions?

YesNo

Workers Compensation

Are you registered for Workers Compensation in any states?

NSWVICQLDOther statesNo

How many hours per week

How many hours are you looking to complete each week?

Supplementary/Main Income

Would My Mirror be main or supplementary income

PermanentSupplementary

Contract/Permanent Position

Would you be open to contract or a permanent position or both

ContractPermanentBoth

Special Interest

Do you have any clinical/special interest areas?

Modalities

Which modalities are you experienced/trained in?

Presentations

Are there any presentations you wouldn’t work with?

Commencement

If you are successful when would you be ready to start practicing on My Mirror

Message

Did you have any questions or additional comments

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