Request to remove your name from a Recognised Fellows List form (HW068)

Use this form to request the removal of your name from the list of Recognised Royal Australian College of General Practitioners (RACGP) and / or Australian College of Rural and Remote Medicine (ACRRM) Fellows.

This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.

Page last updated: 25 May 2018