massage therapy


Alternative/Complementary Medicines and Therapies
Insurance Proposal Form

ABN 34 005 543 920 AFSL 238312 Ref: 0245-30JAN09

To apply for Practitioner Insurance with our Brokers OAMPS, please fill in the following Proposal Form and click Send to submit your application.

Note: Once your online application has been submitted via the online form below, this will act as a cover note for insurance cover, however we will confirm the premium and period of insurance once we have reviewed your application.

Special Notice: This online application form is for IICT members are either: Executive, Full, Associate or Affiliate Members.
If you require insurance cover as a Student Member or Direct Sellers, CLICK HERE

If you have any questions on how to fill in this form call OAMPS:

Free Call: 1800 222 012
Free Fax: 1800 000 472

International Phone: +61 3 9412 1223
International Fax: +61 3 9412 1668
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.


Insurance Proposal Form

*required fields

Period of Insurance

All policies run for a full 365 days from the date of joining. Please indicate your preferred start date of your policy below.