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First name
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Last name
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Username
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Email address (professional preferred)
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Generic/shared email addresses may not be accepted (i.e. reception@practice, nurse@practice), where possible use individual email address
Password
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Must contain a minimum of 12 characters (maximum 30 characters) and at least 1 uppercase letter, 1 lowercase letter, 1 number and 1 special character.
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Profession:
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If you are AHPRA registered, please select the most relevant to your registration category. AHPRA registered health professionals are automatically verified and given unlimited access.
Select your answer
GP/GP Registrar
Medical specialist
Registrar/RMO/Intern
Allied health professional (AHPRA registered)
Allied health professional (all other)
Enrolled Nurse
Registered Nurse
Nurse Practitioner
Midwife
Practice Manager/Admin
Student
Academic
WAPHA employee
Other
Please specify your profession:
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Please specify either your field of study or academic position:
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Please enter your full AHPRA Registration Number, including letters and numbers
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AHPRA
Name of practice, organisation or educational institution:
*
If more than one applies, please enter your primary practice/organisation
Please specify your intended use of Clinician Assist WA:
*
If you are wanting to use Clinician Assist WA for research purposes, please email us directly with your request (clinicianassist@wapha.org.au).
Region:
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If more than one applies, please select your primary region
Perth North
Perth South
Kimberley
Pilbara
Midwest
Goldfields
Wheatbelt
South West
Great Southern
Christmas/Cocos Islands
Other Australia
Overseas
You have indicated you are not working in WA, your request for access to Clinician Assist WA will be reviewed by our team. If you are a locum, please select the region above that applies to your locum work in WA.
Reason for accessing Clinician Assist WA:
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How did you hear about Clinician Assist WA?
Previous user
WAPHA
Colleague/work
CRS/RAC
Event/education session
Newsletter
Online search (e.g. Google)
RACGP
Social media
University
WA Department of Health
Other
Subscribe to Clinician Assist WA email list
Ticking this box constitutes your consent to be added to the Clinician Assist WA subscriber email list. We will contact you from time to time regarding Clinician Assist WA related opportunities and updates. Your information will be kept private and will only be used for communications related to Clinician Assist WA. You can opt-out by un-ticking this box or at any time by contacting clinicianassist@wapha.org.au.
Terms & Conditions
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I confirm I am currently providing services, or working for a WA based health service supporting the delivery of services, to patients within Western Australia (includes Telehealth).
Terms & Conditions
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I confirm that I have read, understood, and agree to the website
Terms & Conditions
of use.
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Submitting this form constitutes your consent to be added to the Clinician Assist WA subscriber email list.
We will contact you from time to time regarding Clinician Assist WA related opportunities and updates. Your information will be kept private and will only be used for communications related to Clinician Assist WA. You can opt-out by ticking the box below or at any time by contacting the Clinician Assist WA team (health.pathways@wapha.org.au).
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