Travel Medicine Registration
Company/Practice Name*
First Name*
Last Name*
Email*
Your email address is your secondary form of identification and is our main method of communication with you.
Verify Email*
Please retype your email address to ensure that it is correct.
AHPRA Number*
A valid and current AHPRA number is required to register for an account.
Date of Birth
Gender*
Address*
Ensure that a valid practice address is provided. Residential addresses, PO Boxes, Locked Bags, and similar address types are not permitted.
City/Suburb*
State*
Postcode*
Country*
Mobile Phone*
Work Phone
You must enter a phone number that we can contact you on.
Please select a username and password for future logins. Retype your password in the Verify field to ensure it is correct.
Username*
Password*
Verify Password*
Each time you access this Website and/or place an order, you agree:
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To provide and maintain true, accurate, current and complete information about yourself;
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That you meet all obligations under your AHPRA registration and comply with the Medicines Australia Code of Conduct;
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That you warrant that you are the AHPRA registered medical practitioner;
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The delivery address for each order must be identical to the Australian address you have registered with AHPRA; and
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Not to re-sell or supply any goods purchased from this Website to another practitioner or business; or to supply goods to any person outside Australia.
If you provide any information that is (or we have reason to believe is) untrue, inaccurate, not current or incomplete or does not comply with these requirements, we may suspend or terminate your account and refuse any
and all current and future use of the Website.
You are responsible for keeping your password confidential and for all activities that occur under your password and registration. You agree to immediately notify us of any unauthorised use of your password or account
or any other breach of security. We will keep your personal information confidential. For more information about how we collect, use, and disclose your personal information, please refer to our
Privacy Policy.