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Forms

The Commonwealth Department of Health and Aged Care has proposed regulations for Medicare ultrasound benefits effective from the 1st of November 2001. From this day sonographers performing ultrasound examinations on behalf of medical practitioners will be required to be accredited. This requirement will become part of the Medicare Benefits Schedule regulations. A register of qualified and accredited sonographers will be held by Medicare Australia.

Fees for 2012

Please note the change in fees listed below for 2012.

Renewal notices will be sent electronically to your nominated e-mail address in January 2012.

Please ensure that your contact details are correct by visiting your profile on line.

AMS Renewal		$119.00 including GST
CPD default Renewal		$150.00 including GST
Student Renewal		$119.00 including GST
Temporary Residents renewal		$119.00 including GST
Accreditation Fee (new applicants)		$119.00 including GST
Reactivation		$55.00 including GST
Re-application Fee		200.00 including GST

Bank fee for dishonoured cheque		$9.00
Duplicate Certificate		$20.00 including GST

Manual Payment Authority Form

Manual Payment Authority Form

Program Accreditation Documentation

Standards for the Accreditation of Sonographer Courses (SASC)

ASAR Course Accreditation Application Pack

The ASA Competency Standards for the Entry Level Sonographer

1.0 Membership Application Forms

1.1 – Application form & guide for entry onto the register of Accredited Medical Sonographers
This form is to be completed by applicants who wish to apply for entry into the Register of Accredited Medical Sonographers.

1.2 – Application form & guide for entry onto the register of Accredited Student Sonographers
This form is to be completed by applicants who wish to apply for entry into the Register of Accredited Student Sonographers.

1.3 – Application for change of status from student to qualified Sonographer
This form is to be completed by Accredited Student Sonographers who have completed their course requirements and wish to change their status to a qualified sonographer status with ASAR.

2.0 CPD Forms

2.1 – CPD Activity Report
The CPD Activity Report is the only documentation that should be regularly submitted to ASAR. A CPD activity report is the method of logging CPD activities onto your personal ASAR CPD database. A CPD activity report proforma will be provided for you to complete each year with your annual subscription notice. Activity reports may be submitted at any time during the year and may also be completed on line via the ASAR website. Full instructions, including category codes, are available in the CPD page. You may also submit CPD Activity Reports via the ASAR website.

2-2 – CPD Credit Allocation
Wherever possible the meeting / program provider is to calculate the CPD credits using the guide in Table 1. If this is not possible a Request for a CPD Credit Allocation form is to be submitted to the secretariat for allocation of points.CPD credit allocation is based on the duration, level of involvement and type of program.The co-ordinator / organiser may apply for a whole years program in advance. Application may be made for programs retrospectively but prospective applications are desirable.

2.3 – CPD Self-Directed Learning Activity Statement
A Self-Directed Learning Activity Statement is evidence of self-directed learning activity. A learning outcome is a statement, which reflects additional knowledge gained from the activity, which may be used to change or reinforce your current clinical practice.

2.4 – CPD Supervisor Validation Form
The ASAR recognises that not all CPD activities include a certificate of attendance; for example, grand rounds and in-house seminars. Documentation of attendance at these meetings may include a signature from your supervisor on this form.

2.5 – CPD Certificate of Attendance
It is desirable for co-ordinators/organisers to provide attendees with a certificate of attendance. This certificate should clearly state meeting/program title, convenor’s name, date, participant’s name (may be handwritten), allocated CPD Credits, ASAR Activity Code, and Postcode of location.

3.0 De-activation / Re-activation Forms

3.1 – Application for temporary deactivation from the register
This form is to be completed by registrants who wish to be temporarily de-activated from the Register due to maternity leave, travel, or any other reason. Please note that ASAR will not refund any money already paid, however no further payment will be charged during the de-activation period. Registrants must complete an ASAR Re-activation form when they wish to be re-instated to the Register.

3.2 – Application for reactivation to the register
This form is to be completed by registrants who wish to be re-activated to the ASAR Register after obtaining a temporary de-activation.

4.0 RCP Forms

4.1 – RCP Supervisor Checklist

4.2 – RCP Supervisor Consent

4.3 – RCP Supervisor Assessment

5.0 Complaint / Appeal Forms

5.1 – Complaint Notification

5.2 – Application for an Appeal – Decision of ASAR Council
This form is to be used by any person who wishes to appeal against a decision of the Registry. The form needs to be lodged within thirty days after the receipt of communication of that decision and accompanied by an application fee as prescribed in the form.

6.0 Other Forms

6.1 – AOB Registrant information collected on behalf of ASAR