WARHC27 - Delegate - Registration

Step 1 of 13

Group Registration

Please select the number of conference attendees you would like to register

Group Members

Group Size

Step 2 of 13

Contact Details

Title

First Name

Last Name

Organization name in full

Position

Email Address

Verify Email Address

Mobile

Preferred Name

Please enter your name how you would like to see it on your name badge

Preferred First Name

Preferred Last Name

Primary Address

Address

Town/Suburb

State

Postcode

Accreditation number/s if applicable

RACGP

ACRRM

AHPRA

Dietary Requirements

Other

Please note: Pan Pacific Perth follows strict health and safety protocols when handling food and dietary requirements. Potential allergens are present in daily general operations. Pan Pacific Perth cannot 100% guarantee the absence of potential allergens during catering services. In the unlikely event of consumption of potential allergens, the individual delegate is responsible to carry their own allergen medication including the epi pen.

I have checked through the details above and confirm that this is how I would like my name to appear on all event collateral

Please select

I have checked through the details above and confirm that this is how I would like my name to appear on all event collateral

Which region do you live and work in?

Other (not listed) - Please specify:

Please write your answer here:

Are you employed by WA Country Health Service?

Are you of Aboriginal or Torres Strait Islander origin?

Do you identify as culturally and linguistically diverse?

Do you have access requirements you would like us to be aware of?

Please provide information on your accessibility requirements:

Please write your answer here:

How did you hear about this conference?

Please specify:

Please write your answer here:

Step 3 of 13

Registration Type - Full Registration

Aboriginal Health Worker and Aboriginal Health Practitioner - Early Bird FULL

520.00

Discount Code

Aboriginal Health Worker and Aboriginal Health Practitioner - Standard FULL

570.00

Discount Code

Aboriginal Health Worker and Aboriginal Health Practitioner - Late FULL

620.00

Discount Code

Academic - Early Bird FULL

745.00

Discount Code

Academic - Standard FULL

795.00

Discount Code

Academic - Late FULL

845.00

Discount Code

Allied health - Early Bird FULL

520.00

Discount Code

Allied health - Standard FULL

570.00

Discount Code

Allied health - Late FULL

620.00

Discount Code

GP - Early Bird FULL

820.00

Discount Code

GP - Standard FULL

920.00

Discount Code

GP - Late FULL

950.00

Discount Code

Health Administrator - Early Bird FULL

745.00

Discount Code

Health Administrator - Standard FULL

795.00

Discount Code

Health Administrator - Late FULL

845.00

Discount Code

Midwife - Early Bird FULL

520.00

Discount Code

Midwife - Standard FULL

570.00

Discount Code

Midwife - Late FULL

620.00

Discount Code

Nurse - Early Bird FULL

520.00

Discount Code

Nurse - Standard FULL

570.00

Discount Code

Nurse - Late FULL

620.00

Other - Early Bird FULL

745.00

Other - Standard FULL

795.00

Other - Late FULL

845.00

Discount Code

Registrar - Early Bird FULL

770.00

Discount Code

Registrar - Standard FULL

870.00

Discount Code

Registrar - Late FULL

900.00

Discount Code

Student - Early Bird FULL

370.00

Discount Code

Student - Standard FULL

420.00

Discount Code

Student - Late FULL

470.00

Discount Code

Registration Type - Day Registration

Day Registration - Aboriginal Health Worker and Aboriginal Health Practitioner - Early Bird FULL

500.00

Discount Code

Day Registration - Aboriginal Health Worker and Aboriginal Health Practitioner - Standard FULL

550.00

Discount Code

Day Registration - Aboriginal Health Worker and Aboriginal Health Practitioner - Late FULL

600.00

Discount Code

Day Registration - Academic - Early Bird FULL

500.00

Discount Code

Day Registration - Academic - Standard FULL

550.00

Discount Code

Day Registration - Academic - Late FULL

600.00

Discount Code

Day Registration - Allied health - Early Bird FULL

500.00

Discount Code

Day Registration - Allied health - Standard FULL

550.00

Discount Code

Day Registration - Allied health - Late FULL

600.00

Discount Code

Day Registration - GP - Early Bird FULL

500.00

Discount Code

Day Registration - GP - Standard FULL

550.00

Discount Code

Day Registration - GP - Late FULL

600.00

Discount Code

Day Registration - Health Administrator - Early Bird FULL

500.00

Discount Code

Day Registration - Health Administrator - Standard FULL

550.00

Discount Code

Day Registration - Health Administrator - Late FULL

600.00

Discount Code

Day Registration - Midwife - Early Bird FULL

500.00

Discount Code

Day Registration - Midwife - Standard FULL

550.00

Discount Code

Day Registration - Midwife - Late FULL

600.00

Discount Code

Day Registration - Nurse - Early Bird FULL

500.00

Discount Code

Day Registration - Nurse - Standard FULL

550.00

Discount Code

Day Registration - Nurse - Late FULL

600.00

Discount Code

Day Registration - Other - Early Bird FULL

500.00

Discount Code

Day Registration - Other - Standard FULL

550.00

Discount Code

Day Registration - Other - Late FULL

600.00

Discount Code

Day Registration - Registrar - Early Bird FULL

500.00

Discount Code

Day Registration - Registrar - Standard FULL

550.00

Discount Code

Day Registration - Registrar - Late FULL

600.00

Discount Code

Day Registration - Student - Early Bird FULL

500.00

Discount Code

Day Registration - Student - Standard FULL

550.00

Discount Code

Day Registration - Student - Late FULL

600.00

Step 4 of 13

Social Program

Sundowner

Kicking off the conference social program, this family friendly Sundowner offers delegates and their family members the chance to unwind and reconnect with colleagues in a relaxed atmosphere. Held immediately after the close of conference on day one, the event will include drinks and canapés.

This event is free of charge for delegates, partners and/or children.

Please indicate if you would like to attend this optional event below.

Sat, Mar 20, 2027 5:00 PM - 6:30 PM

Delegate FULL

Number Of

Delegate FULL

Additional attendee (partner) FULL

Number Of

Additional attendee (partner) FULL

Number Of

Additional attendee (child) FULL

WA Rural Health Excellence Awards 2027

The WA Rural Health Excellence Awards honour those who have made significant contributions to rural health, improving the quality and accessibility of healthcare for people living in remote and regional areas. This prestigious event shines a spotlight on the dedication and commitment of healthcare professionals whose work has a profound impact on the lives of rural residents.

Sat, Mar 20, 2027 6:30 PM - 11:59 PM

Number Of

Conference Attendee FULL

AMOUNT

210.00

TOTAL

Step 5 of 13

Funding Support

You may be eligible for support with your registration and/or accommodation fees through the Health Workforce Scholarship Program (HWSP). Please select one of the following options:

Step 6 of 13

Travel Support

Travel support is available for eligible health professional who work and live in rural and remote Western Australia.

Delegates should check their eligibility and review travel support information before submitting a claim. For more information, please visit the Travel Page.

Rural Health West will provide travel support for currently practising:

GPs and medical practitioners
Nurse and midwives
Allied health workers and,
Aboriginal health practitioners/workers

The following travel support will be provided by Rural Health West:

Fuel reimbursement; or
Flight reimbursement up to the capped amount based on region for delegate and immediate family

If you are unsure of your eligibility, please visit the FAQs Page or contact the Events Team via email for more information.

Please note: Full attendance (Saturday 20 March to Sunday 21 March 2027) of the conference is required for Rural Health West to cover flights and travel reimbursements. It is vital that you scan into every session to record your attendance. If you are not in attendance for the full conference program, you will be charged for the cost of your travel. Tickets booked prior to Rural Health West receiving full registration payment will result in reimbursement not being authorised.

Travel support for immediate family

Travel support is available for health professionals living and working in rural and remote Western Australia. Each full (two-day) conference delegate is eligible for a contribution towards the travel costs (airfare or fuel) for immediate family members' travelling to Perth at the time of the conference. Dependent of which region you live in, there is a travel allowance of $400-$500 per full conference delegate, which will be paid as a reimbursement. This is in addition to the conference delegate's flat rate for their own travel.

Travel allowance (inclusive of GST)

Travel allowance by region per person (eligible conference delegates and immediate family).

Region	Capped travel allowance per delegate	Capped travel allowance for immediate family
Kimberley	$700	$500
Pilbara	$800	$500
Goldfields	$500	$400
Midwest	$500	$400
Great Southern	$500	$400
South West	$300	N/A
Wheatbelt	$300	N/A

Please note: The capped travel allowance per delegate and for immediate family represents the maximum amount that Rural Health West will reimburse for travel only. It is not a general flat rate reimbursement amount, and proof of purchase is required.

Non-reimbursable items

Rural Health West is unable to reimburse the following items:

Flight change fees, booking fees made outside of business hours, excess baggage fees, any fees not associated with the flight
Accommodation and all related expenses (accommodation rates have been negotiated with the venue)
Taxi charges
Parking fees
Hire cars
Mileage allowance for private vehicles
Meals other than specified in the conference program
Conference registration fee

Do you require travel support?

No - I am ineligible / do not require travel support

Unsure - I will decide later

Yes - I am eligible and require travel support

How will you be getting to the conference?

I am unsure / I will decide later

I will be driving

I will be flying

Will you be travelling with others?

No - I will be travelling by myself

Yes - I will be travelling with others

Step 7 of 13

Travel Support - Flights

To receive travel support for the cost of your flights, you must do one of the following:

Book directly

Book your own flights and receive a reimbursement from Rural Health West upon receipt of proof of purchase and a completed reimbursement claim form. Please ensure this is emailed to the Events Team by Friday 2 April 2027.

Should the cost of the airfare exceed the capped travel allowance for your region (as per table above), you will only be reimbursed the allowance amount listed for your region. Please get in touch with the Events Team for more information.

Corporate Traveller

Book flights directly through the Corporate Traveller booking system. If you select this option, you will have the option to provide your contact details on the next page so that a profile can be created for you in the Corporate Traveller booking system. Within a few business days, Corporate Traveller will email you a link to access the system and choose your preferred flights. It is the delegate's responsibility to book their own flights.

Should the cost of the airfare exceed the capped travel allowance for your region (as per table above), Rural Health West will send through a link to make an online payment. Payment must be received by Rural Health West within 14 days from the date of issue and tickets will not be issued until payment is received.

Please note: This method is not available to delegates wishing to travel with others.

Delegates should check their eligibility and review travel support information before submitting a claim. For more information, please visit the Travel page.

How will you be booking your flights?

I will book my own flights and submit a reimbursement

I will book through the Corporate Traveller booking system

Step 8 of 13

Travel Support - Flights

As you are travelling with others, you must book and pay for your own flights and apply for a reimbursement.

Book directly

Should the cost of the airfare exceed the capped travel allowance for your region, you will only be reimbursed the allowance amount listed for your region. Please get in touch with the Events Team for more information.

Fees for changes to tickets are not reimbursable by Rural Health West.

Should you wish to travel to or from Perth outside of the specified conference dates, your fare can still be covered (up to the capped travel allowance for your region) on condition no additional expense to the organisation is incurred.

Delegates should check their eligibility and review travel support information before submitting a claim. For more information, please visit the Travel page.

Step 9 of 13

Travel Support - Fuel

Eligible delegates who are driving to Perth for the conference, can claim a reimbursement for their fuel expenses (up to the maximum travel allowance listed above) to and from Perth to their home town. Proof of purchase is required.

A reimbursement claim form will need to be completed and emailed to the Events Team at Rural Health West by Friday 2 April 2027. Please ensure that original tax invoices are provided when submitting your claim. EFTPOS receipts will not be accepted.

Delegates should check their eligibility and review travel support information before submitting a claim. For more information, please visit the Travel page.

Step 10 of 13

Corporate Traveller Registration

To organise your flights, we will create a profile for you in the Corporate Traveller booking system.

Please provide your details below exactly as they appear on your identification (e.g. driver’s licence or passport) to ensure your profile is accurate.

Within a few business days, you will receive an email from Corporate Traveller with a link to access the system and select your preferred flights.

First Name (as shown on your ID)

Please write your answer here:

Last Name (as shown on your ID):

Please write your answer here:

Email Address:

Please write your answer here:

Sex:

Please write your answer here:

Velocity Frequent Flyer Number:

Quantas Frequent Flyer Number:

Step 11 of 13

Health Professionals Network

The Health Professionals Networks are designed to provide rural and remote health professionals with better support and greater opportunities to network, upskill, share information and collaborate in a local, supportive community environment. They welcome all health professionals living and working in rural and regional Western Australia to join their local network.

Are you a member of your local Health Professionals Network?

No, I am not a member of my local network

Yes, I am a member of my local network

Would you like to be contacted by your local HPN coordinator?

No, I would not like my local coordinator to contact me

Yes, I would like my local coordinator to contact me

Step 12 of 13

Terms and Conditions

I Agree

Step 13 of 13

Payment

IMPORTANT: Once on the payment page, after you have clicked the PAY NOW button, please ensure that you click the FINALISE TRANSACTION button on the final page to complete your registration.

Thank You

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