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Please fill out the form below and allow up to one business day for your registration to process. For immediate registration call 1800 16 17 18
AHPRA Registration Number
Name of Current Practice
Practice Website (optional)
Practice Primary Health Network (PHN)
How did you hear about the GP Psychiatry Support Line?
We will send a written reply after each enquiry. Would you like your report sent to the email provided above?
Yes - Send them to me by email
No - We will be in touch to organise another method
I agree to the terms and conditions of using this service.
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