Fee Estimate Start your accreditation journey by completing this form and receive your QPA proposal Your contact informationYour Name* Dr.MissMr.Mrs.Ms.Prof.Rev. Title First Last Position*Phone*Email* Practice InformationPractice Name*Are you currently accredited?*YesNoIf so, please provide the practice's expiry date*Practice Type - please selectGeneral PracticeAboriginal Health ServiecsMedical Deputising ServiceAfter Hour ClinicOtherPractice is co-located with other medical services Practice is co-located with other medical services Practice does not have a fixed clinical address Practice does not have a fixed clinical address Practice Address* Street Address Address Line 2 City State Postcode Total number of GPs currently working in your practice*Total weekly consulting hours for all GPs*(Note: the number of hours should reflect face to face patient contact time and not teaching or administration) Please provide any additional relevant information about your organisation (e.g. your business' structure, your accreditation goals and needs)CAPTCHANameThis field is for validation purposes and should be left unchanged.
