Register your details
Please insert details below as appropriate
Work email address
Alternative email address
Professional registration number
Community practice nurse prescriber
We would like to collect information on your preferred channel(s) of communication with our industry partners. Please note that this may not be the only channel(s) we use depending on nature of the communication(s). These communications will be in relation to your professional role only. Please select all that apply.
Virtual Meetings (with Representatives)
Face-to-Face Meetings (with Representatives)
Please confirm the following:
By ticking this box you give consent for your professional details to continue to be held on the database. If you are submitting updates on behalf of others, you confirm that you are doing so with the full knowledge and consent of the individual whose information you are submitting.