Your organisation’s registered name (as per ABN): 

What is the state or territory of your organisation as per ABN registration*

Your name: 
Your role: 
Your contact email*

Your contact phone number*

 

I meet the eligibility criteria as outlined in the CPD Provider Handbook.*
You have read and agree to comply with both the RACGP CPD Standards and the CPD Provider Handbook.*
I have familiarised myself with the 2022 RACGP curriculum and syllabus for Australian general practice and will only deliver CPD activities that address topics in the curriculum.*