Suicide Prevention Accreditation Program Registration
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Suicide Prevention Accreditation Program Registration Contact Details
Prefix
First Name
Last Name
Organisation Details
Organisation Address
Address Line 1
Address Line 2
City
State
Postcode
Organisation postal address
Address Line 1
Address Line 2
City
State
Postcode
Please list all sites/locations to be included in scope for Suicide Prevention Assessment and
Accreditation (this includes Administration offices).
For over 5 sites/locations, complete the Suicide Prevention Australia Standards Additional
Site/Program Form available by clicking here.
For over 5 programs, the QIP Health Services Accreditation Client Liaison Team will be in
touch to complete your registration.
Suicide Prevention Accreditation Assessment Fee
QIP Suicide Prevention Accreditation Assessment Fee (ex GST)
A$
0.00
🔒 Payment will be processed securely via Stripe on the next page.
A credit card surcharge of 1.927% and GST (10%) applies.
Please select a payment method.
Submission and Authorisation
Authorisation *
Terms and Conditions *
Confirmation *
Use your mouse or finger to draw your signature above
First Name
Last Name
Please complete all required fields, checkboxes, and signature before submitting.
Registration Submitted!
Thank you — your QIP Suicide Prevention Accreditation Program registration has been received. As you've chosen to pay by bank transfer, our team will send you payment instructions separately. A confirmation email will follow shortly.
