MyABDR Registration
lastname
I request to access and input MyABDR data for the following patient/s
Patient Details
ABDR ID (if known):
On ABDR treatment patient card. Optional
Given Name:
*
Family Name:
*
Date of Birth:
*
My Relationship to Patient:
*
Self
Mother
Father
Partner/Spouse
Guardian
Friend
Other
Haemophilia Treatment Centre:
*
ACT - The Canberra Hospital - Haemophilia Clinic
NSW - Calvary Mater Newcastle - Haemophilia Treatment Centre
NSW - John Hunter Children’s Hospital HTC - John Hunter Children’s Hospital HTC
NSW - Prince of Wales Hospital - Bleeding Disorders Clinic
NSW - Royal Prince Alfred Hospital - Haemophilia Treatment Centre
NSW - Sydney Children's Hospital - Centre for Children's Cancer and Blood Disorders
NSW - The Children's Hospital at Westmead - Factor Zone - Haemophilia Treatment Centre
NSW - Westmead Hospital - Haemophilia Treatment Centre
NT - Royal Darwin Hospital - Haemophilia Treatment Centre
QLD - Queensland Children’s Hospital - Queensland Haemophilia Centre
QLD - Royal Brisbane and Women's Hospital - Queensland Haemophilia Centre
SA - Royal Adelaide Hospital - South Australia Haemophilia Treatment Centre
SA - Women's and Children's Hospital - South Australia Haemophilia Treatment Centre
TAS - Royal Hobart Hospital - Paediatric Oncology-Haematology Clinic
VIC - The Alfred hospital - Ronald Sawers Haemophilia Centre
VIC - The Royal Children's Hospital - Henry Ekert Haemophilia Treatment Centre
WA - Fiona Stanley Hospital - Adult Haemophilia Centre
WA - Hollywood Private Hospital - Hollywood Hospital Haemophilia Treatment Centre
WA - Perth Children's Hospital - Paediatric Haemophilia Centre
My Details
Email Address:
*
Confirm Email Address:
*
This email address will be used to log in to MyABDR and for password resets.
Given Name:
*
Family Name:
*
Mobile Phone:
*
Password resets will also be sent to this number via SMS.
Security Questions
Security Question 1:
*
What is your mother's maiden name?
Where were you born?
What is your favourite book?
What is your pet's name?
In what city or town was your first job?
What is your maternal grandmother's maiden name?
What city did you go to on your honeymoon?
What was your childhood nickname?
What is the name of your favourite childhood friend?
Answer 1:
*
Security Question 2:
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What is your mother's maiden name?
Where were you born?
What is your favourite book?
What is your pet's name?
In what city or town was your first job?
What is your maternal grandmother's maiden name?
What city did you go to on your honeymoon?
What was your childhood nickname?
What is the name of your favourite childhood friend?
Answer 2:
*
I accept the Terms and Conditions of Use.
*
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I confirm the details provided are true and correct:
*
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