Welcome to EMPOWERED

1User account details

2Practice/hospital details

3Terms and Conditions

User Account Details

Name*

Title First Last

Display Name / Username*

How you will be addressed.

Country*

Country

Email*

Password*

Enter Password Confirm Password

Strength indicator

We require at least a 'medium' strength password as follows:
Minimum length of 9 characters
Uppercase letters
Lowercase letters
One number
Special character e.g. !, @, $, *

Profession Details

Select your profession*

General Practitioner/Primary Care Physician

Specialist / Consultant

Advanced Trainee / Registrar / Junior Doctor

Nurse / Midwife

Allied Health Professional

Student / Other Professional Working in Healthcare

AHPRA Registration Number*

Note: must adhere to standard AHPRA Registration Number format, which begins with 3 letters. Please contact the EMPOWERED team if you require additional support.

Health Professional Registration Number / Identifier*

Select RACGP, ACRRM or None/Other*

RACGP

ACRRM

Other (please specify)

RACGP Number*

ACRRM Number*

Other (please specify)

Specialty*

For Nurse / Midwife

Select health professional registration number type*

AHPRA Registration Number

Health Professional Registration Number / Identifier

Other Identifier (please specify)

AHPRA Registration Number*

Note: must adhere to standard AHPRA Registration Number format, which begins with 3 letters. Please contact the EMPOWERED team if you require additional support.

Health Professional Registration Number / Identifier*

Other identifier

Profession Field*

For Allied Health Professionals

Profession Field*

For Student / Other Professional Working in Healthcare

This field is hidden when viewing the form

Professional Field merged

This field is hidden when viewing the form

AHPRA merged

This field is hidden when viewing the form

Other Identifier merged

This field is hidden when viewing the form

HPRN merged

NOTE: Depending on your selection you may be granted access to EMPOWERED. However, our admin team may contact you to confirm you are a professional working in healthcare.

Register

User Account Details

Profession Details

Practice/Hospital Details

Terms and Conditions