2027 Bond Integrated Placements

2027 Bond Integrated Placement Medical Student Program

Bond University in collaboration with the Gold Coast Primary Health Network (GCPHN) Clinical Placements team, warmly invite you to participate in the 2027 Bond Integrated Placement Medical Student Program.

This is an integrated placement between General Practice, Community and Hospital with a focus on Child and Women's Healthcare, whilst also providing students exposure to all aspects of General Practice.

To provide your availability to host students please complete the form below.

If you need assistance completing the form or have any questions, please contact us via:

Phone: 07 5612 5402 Mobile: 0429 000 040 or email: clinicalplacements@gcphn.com.au

Practice Details

Practice Name *

Practice Manager Salutation *

Practice Manager: First Name *

Practice Manager: Last Name *

Street Address *

Suburb *

Postcode *

State *

Practice Phone Number *

Practice Email Address *

GP Supervisor(s) Information

Please provide required details of GP's and GP Registrar's who will be sharing supervision of student placements below.

**Important - If GPs at your practice prefer to supervise students independantly, please complete a separate availabilty form for each GP

GP Supervisor 1: First Name *

GP Supervisor 1: Last Name *

GP Supervisor 1: AHPRA # *

GP Supervisor 1: Email address

Do you have a special interest in either of the below: (select all that apply)

Women's HealthChildren's Health

GP Supervisor 1 Comments:

GP Supervisor 2: First Name

GP Supervisor 2: Last Name

GP Supervisor 2: AHPRA #

GP Supervisor 2: Email address

Do you have a special interest in either of the below: (select all that apply)

Women's HealthChildren's Health

GP Supervisor 2 Comments:

Do you have additional GPs interested in Integrated Placements? *

YesNo

Bond Integrated Placements - Semester 1 GP Availability

*Students are required to attend 2 x 3-5 hour sessions per scheduled placement day and have no flexibility with changing days.

Please select your availability preferences below to supervise Bond Integrated Placement Medical Students in Semester 1:

Bond Integrated Placements - Semester 2 GP Availability

Please select your availability preferences below to supervise Bond Integrated Placement Medical Students in Semester 2:

By submitting this form, you confirm your intent to supervise Bond University medical students and consent to receiving a university-specific service agreement directly from Bond University via email *

Yes I agreeNo I do not agree

This form was completed by: *

Date Completed and Submitted *

NEXT STEPS

Thank you for your submission to participate in the 2027 Bond Integrated Placement Medical Student Program!

Next Steps: Student allocations will be taking place shortly and one of the Clinical Placements team will be in touch with student and practice details should you be allocated students.

PRIVACY

We take privacy and security extremely serious. By providing us with your information you agree to how we store your data. To find out more visit our website at: Privacy Policy - Gold Coast Primary Health Network (gcphn.org.au)

To find out more information about the program: Medical Student Clinical Placements - Gold Coast Primary Health Network (gcphn.org.au)

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