Mood Assessment Systems Australia - Clinician Registration

If you would like to be able to refer patients to the Mood Assessment Program (MAP) you will need to register here first. Once you have registered, your details will be entered into our system and a MAP Access Code will be generated and sent to you along with extra information about the MAP system and how it works.

You should complete one registration per provider number and location

Title

First Name

Surname

Provider Number

Psychologist Registration Number

Telephone Number

Mobile Number

Fax

Email Address Gmail, yahoo and hotmail emails are not accepted for security reasons

Gender

Field of Practice

Practice Name

Address Line 1

Address Line 2

Address Line 3

Suburb

State

Postcode

Do you use any secure messaging systems in your practice such as Argus Messaging ?