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Download Forms

 

There are multiple ways to join the CP Register.

It is possible to join the CP Register online or if you prefer you can download and complete both the registration form (PDF) and consent form (PDF) and mail these to your local CP Register.

Alternatively you can give permission to your health practitioner or education professional to submit your details on the CP Register website or send your name and contact details to your local CP Register and we will contact you to complete the registration.

Australian CP Register Forms

 

If you prefer to register on paper – Download the registration form

Details will be verified when the CP Register receives a registration. Consent must be provided by the person with cerebral palsy to use this information. All reported information will be de-identified for public reports to protect the person with cerebral palsy’s identity. This can be done online via the website, or manually by downloading the form and send it back to us.

Each person must complete a consent form to participate – Download the consent form
If you are going to enter or provide details of a Cerebral Palsy Record, we must obtain consent from the individual with Cerebral Palsy to ensure that he/she is consented that their information will be used for research purposes and could be seen by the person who register the record. The form must be completed and signed by the individual with Cerebral Palsy and send back to us to complete the registration.

For further information – Download the information sheet

Consent Removal Form – Health Professional – Download the form
To withdraw consent for a nominated health professional to be contacted to verify or provide information on a cerebral palsy record, the attached form must be completed and returned to the Cerebral Palsy Register.

Consent Removal Form – Research Invitations – Download the form
To withdraw consent to receive invitations to participate in research projects, the attached form must be completed and returned to the Cerebral Palsy Register.


Consent Removal Form – Cerebral Palsy Record
 – Download the form

To remove a cerebral palsy record from the database, this form must be completed and returned to the Cerebral Palsy Register.

Research Policies and Research Forms

 

Australian Cerebral Palsy Register (ACPR) Data Release Policy

This policy provides information regarding use of ACPR CP Data and other relevant research and ethics processes.

This information will be of particular interest to both state and territory register organisations and researchers – Download the policy

ACPR Research Committee Consultation Request Form – Download the form

Request for Non-Identifying ACPR Data – Download the form