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Last Name

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Your Profession

Radiologist

Radiographer

Trade

Other Specialty

Other Specialty

Organisation Name #1

Organisation Name #2

State

ACT

NSW

NT

QLD

SA

TAS

VIC

WA

Country

AUSTRALIA

NEW ZEALAND

OTHER

If you are an FRANZCR Fellow would you also like to be recorded as a member of the ARGANZ special interest group?

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No

If Yes - please give your college membership number

What areas are you interested in?

General Abdominal Radiology

Liver imaging

Urological imaging

Gynaecological imaging

Rectal MRI

Prostate MRI

MR small bowel

CT colonography

Contrast ultrasound

MRI perianal fistula

Pelvic floor imaging

Small bowel ultrasound

Interventional abdominal radiology

Pancreas imaging

Upper GI imaging

Do you participate in an abdominal related MDT?

General surgical

Hepatobiliary

Colorectal

Gastroenterology

Urology

Prostate

Upper GI

HCC

Other (enter in comments field)

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