Welcome to the beginning of the Perinatal Mental Health for Nurses & Midwives online CPD program. Please complete and submit the form below. On completion you will be redirected to our secure Payment Form. All Non-Members are required to pay the $33.00 (including GST) program fee at this time.

NDPC Non-Member Form
I have read the acknowledgements and disclaimers above. (*)
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When you have completed and submitted this program registration screen you will be taken to a secure online payment screen. Following completion of the this screen and the payment screen you will be emailed your login details within 3 working days.

REGISTRATION FORM FOR NON MEMBERS
Are You A
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Title
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First Name (*)
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Surname (*)
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Contact Phone
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Contact Mobile
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Most Reliable E-mail (*)
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Member No. (if applicable)
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Credential No. (if applicable)
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Gender
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Age Range
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Have you ever received training in women's reproductive health, particularly relating to counselling in pregnancy?
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Are you a
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Other (please specify):
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Your place of work:
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Other (please specify):
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Are you receiving clinical supervision?
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If yes, how often do you have clinical supervision sessions?
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Other (please specify):
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Will you receive clinical supervision in relation to your role as a pregnancy counsellor?
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