Doctor and Specialist Registration - Infusion Network Melbourne

Step

Register your details
Complete the registration form below
to request access to the Referrer Portal.

Step

We verify your registration
The Infusion Network team will review and confirm your registration details.

Step

Log in and refer patients
Once approved, you’ll receive a confirmation email. You can then log in to the Referrer Portal and submit patient referrals.

To enable Infusion Network to ensure your details are accurate, please complete the Registration Form below to access Referrer Portal.

Infusion Network is committed to your privacy and WILL NOT provide your personal details to any third party. Personal details will only be used for patient related correspondence. Registrations are manually approved by the Infusion Network team. Once approved, you’ll receive a confirmation email allowing you to log in and refer patients.

All * Are required fields

Title

Name

First

Last

AHPRA Address Practice

Phone

Password

Confirm Password

AHPRA Registration Number

Specialty

Name of Practice

Practice Address

Provider Number (Primary Practice)

Practice Phone Number