Update Your Details Update your details I am a Clinician and need to update my details Practice Manager and need to update details for my practice or clinicians. I am a clinician and need to update my detailsClinician name(Required) First Last Email address(Required) Mobile numberNew/Current location (surgery or hospital name)(Required) New/Current location provider number (or AHPRA ID)(Required) New/Current location street address(Required) New/Current location suburb(Required) New/Current location postcode(Required) New/Current location phone number(Required) About my current practice locations(Required) I have left all previous locations I am still at multiple locations Other If you selected "I am still at multiple locations":LocationProvider Number Add RemovePlease contact me about (select all options that apply)*(Required) Report and image access Report delivery by Healthlink/EDI Electronic referrals Other CommentsI am a Practice Manager and need to update details for my practice or clinicians.Practice Manager full name(Required) First Last Email address(Required) Practice name(Required) Practice suburb(Required) Practice postcode(Required) Practice phone number I would like help with (select all options that apply)(Required) Add new clinicians to this surgery Introduce Perth Radiological Clinic to our new clinicians A clinician has left our practice Report and image access Report access by Healthlink/EDI Set up Best Practice e-Orders for our practice Set up other electronic referral forms Other Name and provider numbers for NEW cliniciansNameProvider numberEmail Address Add RemoveName and provider number for clinicians who have left the practiceNameProvider number Add RemoveCommentsPhoneThis field is for validation purposes and should be left unchanged.
