Research Research projects Australian Interventional Pharmacotherapy and Psychedelic Assisted Psychotherapy Research Registry (AIPPAP-RR) Register your patient Australian Interventional Pharmacotherapy and Psychedelic Assisted Psychotherapy Research Registry (AIPPAP-RR) « About the Project About the Registry For Participants For Referrers Register your patient Privacy, Data Storage, and Data Access Psilocybin/MDMA Authorised Prescriber Human Research Ethics Committee Applications If you are a clinician and would like to refer a participant, please provide the details below and your patient will be invited to join the Registry. Patient details Patient’s full name Patient’s email address Patient’s age Referring doctor Referring doctor's full name Referring doctor's email address Has your patient consented to being contacted by us to be included in the Registry? Yes No Treatment Medication to be used Medication to be used - Select -PsilocybinMDMAKetamineOther… Enter other… Indication for treatment Intended treatment date Additional Information CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.