Become a Simulated Patient

If you can see yourself becoming a Simulated Patient for the School of Medicine please fill in your details below. Please allow up-to three business days for a response.

Registration Form

Required fields are marked with an asterisk ( *).

Personal Details

Title

First Name *

Last Name *

Street Address *

Suburb *

Post Code *

E-mail Address *

Phone Number *

Date of Birth *

Day Month Year

Are you of Aboriginal or Torres Strait Islander origin? *

Study with us

Uni life

Our research

For community & partners

About us

How can we help you?

I'm interested in

Are you an international student?

Become a Simulated Patient

Simulated Patient Program

Registration Form