Medication Assisted Treatment for Opioid Dependence Form

Registration

Page last updated 13 May 2024

Register here for MATOD Training

To register for the MATOD training, complete the information below and our team will be in contact with you.

To enable both Royal Australian College of General Practitioners (RACGP) and Victoria Department of Health (DH) to meet our contractual requirements, the RACGP regularly provides to the DH information (which may include identifying information as below) relating to this program for statistical, evaluation, reporting, research and/or policy development purposes.

By registering for the MATOD Program, practitioners are providing consent for information to be shared with the DH as requested.

* denotes mandatory field

How are you completing your MATOD Training?:

First Name:

Last Name:

Date of birth:

Email:

Mobile:

RACGP ID (if known):

AHPRA number:

Profession:

Hospital/Practice Name:

Hospital/Practice Address:

Please select one of the below:

I have completed the MATOD course and I am currently prescribing
I have completed the MATOD course and have applied to prescribe, but not currently prescribing to patients
I have completed the MATOD course and have not yet applied to prescribe
I have not completed the MATOD course before

Confirmation:

By submitting this form, I confirm that all the details included are true and correct at the time of submission.

Your information will only be used by the RACGP for internal and market research purposes in accordance with the Privacy Statement. If you change your mind, you can opt-out at any time by contacting the RACGP on 1800 472 247 or at privacy@racgp.org.au.

Security code:

References

Advertising