Welcome to EMPOWERED

1User account details

2Practice/hospital details

3Terms and Conditions

User Account Details

Name*

Title First Last

Display Name*

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

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.

Practice/Hospital Details

Practice / Hospital name*

Address*

Address Line 1 * Address Line 2 City* State / Province / Region * Postal Code / ZIP *

Phone

Phone number (mobile preferred; optional). Please include country code e.g. 61 02 1111 5555 or 61 0400 111 555

Terms and Conditions

Website Terms of Use*

I agree to the EMPOWERED Terms of Use and Privacy Policy

I have read and accept the EMPOWERED Terms of Use. I have also read the EMPOWERED Privacy Policy and consent to the collection and use of my personal information as detailed in the policy.

Enrolment communications*

I agree to receive EMPOWERED enrolment communications.

I understand that by clicking Register I am agreeing to receive EMPOWERED communication by email that directly relates to my enrolment in EMPOWERED.

EMPOWERED communications

I agree to receive other communications from EMPOWERED.

Furthermore, I agree to receive EMPOWERED communication by email detailing educational services that may be of interest to me. I understand that I can unsubscribe from these communications at any time.

What brings you to EMPOWERED?*

Which program has prompted you to sign up to the EMPOWERED online medical education platform?