General Practice Accreditation Enquiry

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Practice Information

Practice Name*

The Practice Trading name

Other Name

Any other name the Practice has, include its Legal name

Address*

Street Address Surburb State Post Code Country

General Practice Phone Number*

Practice Service Type/Model of Delivery*

Is the Practice part of a network

A network is when more than one practice is owned and/or operated by the same entity, usually with consistent governance arrangements.

MMM rating

As per the rurality rating of a practice using the Modified Monash Model (MMM) rating scheme.

Key Contact Person

Name*

First Last

Role*

Phone*

Mobile

Email*

Resources

Number of GPs working from the site*

Please enter a number from 1 to 100.

This is the number of unique GPs that would typically work at the general practice. GPs do not need to be employed by the general practice, just working at the site.

Number of FTE GPs working from the site*

Please enter a number from 0.1 to 100.

This is the number of full time equivalents (FTEs) GPs working at the general practice. One FTE is equivalent to 38 hours per week. GPs do not need to be employed by the general practice, just working at the site.

Other

View the General Practice Accreditation Program Information Brochure

Any extra information/queries

Please add any extra information or requests such as a follow up call for further discussion.

How did you hear about us

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Comments

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Practice Information

Key Contact Person

Resources

Other

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