Australian Clinical Labs

2025 registrations now OPEN

If you would like to be registered on this program for multiple practice locations, list all relevant Provider Number(s) in the field below

This form is for NEW registrations only
No need to register again if you are already on this program, unless you change medical practice location
New participants successfully registered will receive further email communications in February 2025

*AMA CPD Home: At successful program completion, AMA members will be provided with a Certificate to Self-Record.

**This program is not currently offered to participants in Queensland (QLD).

Enquiries: skin.audit@clinicallabs.com.au

* indicates required

Direct Email Address *

Title

First Name *

Last Name *

Provider Number(s) *

RACGP Number

ACRRM Number

AMA CPD Home*

Practice Address

Address Line 1 Address Line 2 Suburb State Post Code Country

Phone Number

Practitioner Classification: *

Dermatologist
General Surgeon/Plastics
General Practitioner
Skin Cancer Practitioner
General Practitioner (with skin cancer work)

Skin Excision Evaluation Program Registration Form

Skin Excision Evaluation Program
Registration Form