Transfering Membership

Current members of any Australian ostomy association can transfer their membership to Ostomy Tasmania. Membership fees are transferrable from other associations. Please fill out the form below and we will contact the referring association to validate and complete the transfer process.

Current Association

Entitlement Number (Membership)

Full Name

Date of Birth

Address

Phone

Medicare Card number & MM/YY Expiry date

Medicare Reference Number (located before the persons name on the card)

I grant permission to allow my Medicare details to be verified by a third party (NB: we cannot issue product without a valid Medicare number) I grant permission to allow my Medicare details to be verified by a third party (NB: we cannot issue product without a valid Medicare number) Yes No

Additional Information (if required)

Concession Details (if applicable)

Concession Card Expiry Date (DD/MM/YY)

8 + 9 =

Donations assist us to maintain our service to ostomates. Many of our office workers are volunteers, thus helping to keep our costs to a minimum for members, however our expenses continue to rise over time, so any financial assistance - by way of donations - is gratefully received, even if it's only a few dollars. To make a donation click the link, and enter your credit card details via the secure payment gateway (transaction receipt will follow). Remember donations over $2 are tax deductible.
Thank you for your support!

Make a Tax deductible donation

Transfering Membership

Call Us: 03 6228 0799

Fax: 03 6228 0744

admin@ostomytas.com.au