GP Psych Support Registration There are three ways that GPs can register for the GP Psych Support Service: Phone: 1800 200 588 and a call operator will assist you Internet: complete & submit the online form below Fax: download a faxable registration form, complete & fax this form to 03 8699 0570 Registrations are processed Monday to Friday, during standard business hours. If you have misplaced your username and password please call 1800 200 588 and have your RACGP or provider number ready to provide to the call operator. RACGP ID: Provider No: * Prefix: * Select A.ProfDrMrMissMrMrsMs First Name * Surname * Gender:* Select FemaleMale Date of Birth:* mthJanFebMarAprMayJunJulAugSepOctNovDec day1234567891011121314151617181920212223242526272829 yr193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012 Practice Name:* Practice Address 1:* Practice Address 2: City:* State:* Select ACTNSWNTQLDSATASVICWA Postcode:* Practice Telephone:* Practice Fax:* Mobile Telephone: Email: * Preferred Contact: * Select Practice PhoneMobile PhoneFaxWebmail Username: Password Confirm Password How did you hear about GP Psych Support? view the RACGP's privacy policy

GP Psych Support is operated by the Royal Australian College of General Practitioners. Last updated  06/10/2010    psychsupport.com.au version 4.5