MSD4GPs Registration

This website is intended for Australian General Practitioners, Specialists and allied Health Professionals. Please complete the details below and we will get back to you within two working days with your access information.

Note: * indicates a mandatory field.

Salutation: *
First Name: *
Last Name: *
Gender: *
Surgery Name: *
Surgery Address: *
Surgery Suburb: *
Surgery State: *
Surgery Postcode: *
Email Address: *
To ensure maximum security of your email, please
supply a unique individual email address
(one that is only used by you)
Work Phone Number:
Mobile Number:
Profession: *     (eg. GP,Practice Nurse,Practice Manager, etc...)
Username *
Password *
Confirm Password *
Select your Security Question *
Enter the Answer *
College
Provider Number:
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Privacy Statement: Merck Sharp & Dohme (Australia) Pty Limited will collect and record the contact details you provide and may contact you about Merck Sharp & Dohme products and services by the method(s) you nominate for an indefinite period.We will only disclose your personal information to our affiliated companies and service providers that assist us with our business activities. Otherwise, we will not disclose your information to any third party except as required or permitted by law. If you would like to know more about our privacy policy and procedures, or if you would like to access or update your personal information, please contact our Privacy Officer at Merck Sharp & Dohme (Australia) Pty Limited, 54-68 Ferndell Street, South Granville, NSW 2142 or via telephone (02) 9795 9500