OpenAthens Registration Form

Item request has been placed!

Item request cannot be made.

Processing Request

Register for an EPOCH OpenAthens account.

Use this form if you are NOT an employee of the Department of Health, Tasmanian Health Service, or Ambulance Tasmania.

Type of EPOCH User *

State Service Staff

Visiting/Affiliated Practitioner

Visiting/Affiliated Student

Other

Personal Details

First Name *

Last Name *

Email Address

Name of your Organisation, Business or Academic Institution *

Your email address affiliated with the Organisation, Business or Academic Institution *

Your Email Address *

Student Type *

Type of Student *

Student Year *

What year of study are you completing? *

Position/Placement Details

Region *

Primary Role *

Your role in the Department *

Position Title

Name of Unit/Facility/Service *

Contact Number for Unit/Facility/Service *

Position Duration *

Date of Departure (Month/Year) *

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.