Home > About membership > Apply for Membership Apply for Membership Membership of the Society is open to individuals who are health professionals working with patients in health care settings. To apply for membership please fill in the application form below. Your Name (required) Email (required) Work Phone Home Phone Mobile Phone Address Professional Qualifications Are you a medical Student? YesNo If you answered yes the previous question what is expected year of graduation? Interest in Balint Work Please upload a reference from a registered professional colleague (PDF or document format e.g. PDF DOC ODT). Or ask a registered professional colleague to send a reference supporting your application directly to admin.bsanz@bigpond.com