Register or update your details Register a new practice, add or remove a referrer or update your details using the form below.I want toRegister new practiceRegister new referrerUpdate practice detailsUpdate referrer detailsRemove referrerAdvise of practice closurePractitioner’s first name**Practitioner’s last name**Specialty**Provider Number**Practice name**Practice phone number**Address*Street address*Suburb*State*- Select -Australian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern AustraliaPostal code*Practice software**HeathLink Edi MailboxWould you like to be set up for online report image access?- None -YesNoWould you like to be set up for Qscan Referrer Results (Zed) portal?- None -YesNoMessageLeave this field blank
