New Authorised Prescriber Registration

Register New AP

To get your application assessed by the ANZCCP HREC please register with your details below. The price to submit a new AP application is $800 and includes ANZCCP membership for 1 year plus access to the AP course. This fee must be paid on submitting registration below. Once registered, you will be required to fill in the full application form and submit the supporting documents as detailed. Your application will not be assessed prior to completion of all requirements.

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

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State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

AHPRA or MCNZ number:* AHPRA or MCNZ number is Required

Profession:* Profession is Required

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

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Description	Amount
New Authorised Prescriber Registration – Payment	$800.00
Total	$800.00

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