How to become a Bionics Queensland Associate

Organisations applying for Associate status should complete the online application form below. If you would like to further discuss the benefits of becoming an Associate or ask questions at the time of submitting your application, please call Dr Dimity Dornan on 07 3850 2111.

Upon receipt of your application, we will contact you to provide further insights on benefits and opportunities, fees and payment.

Click here to read our Summary of Benefits and Fees for Associates.

Application form

  • Company Details

  • Representative Details

  • Other Representative Details
  • First NameLast NameEmail 

  • Additional Details
  • This field is for validation purposes and should be left unchanged.