Register your patient

If you are a clinician and would like to refer a participant, please provide your name and contact details and we will reach out to you via email with further information.

Patient details
Referring doctor
Treatment
Has the participant previously received MDMA/psilocybin treatment using the Registry for outcome monitoring?
Is this participant eligible for the SOOTHE study?
Is the patient funded through DVA?
If this patient has already commenced/completed treatment and you would like to contribute your clinically collected data to the registry, select Yes to the following question and further instructions will be provided. Would you like to contribute previously collected clinical data?
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