Fee Estimate

Start your accreditation journey by completing this form and receive your QPA proposal

Your contact information
Your Name*
Title First Last
Position*
Phone*
Email*
Practice Information
Practice Name*
Are you currently accredited?*
If so, please provide the practice's expiry date*
Practice Type - please select
Practice 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)
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Your contact information