Register your interest for a new Older Person's Mental Health network

The aim of this network will be to promote collaborative practice amongst professionals and service providers who have an interest in Older Person's mental health. This network will hope to provide a platform for professional development, updates on local services, referral pathways, and how services and individual practitioners can work together to meet the mental health needs of people residing in the local community. This network will meet 4 times per year.

Please note that this form is being used to gauge interest if the network is sustainable and if network goes ahead (i.e. filling up this form does not mean you are registered for the network).

If there is sufficient interest in this network, MHPN will contact you with further instructions on how to join this network.

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your profession?

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* 4. At what email address would you like to be contacted?

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* 5. What state do you live in?

ACT

NSW

VIC

QLD

TAS

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* 6. What is your phone number?

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* 7. Did you have any interest/capacity to lead this network as it's coordinator? The key responsibility of coordinators is to liase with MHPN, to plan for and organise network meetings.

Yes

Unsure, please send me further information on the role.

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* 8. What is your preference for network meeting formats?

Online meetings only

In-person meetings only

Some online and some in-person

Thank you for taking the time to fill out this form. If you had further questions about this network or MHPN, please get in touch with Emma Ussing at e.ussing@mhpn.org.au, or call 03 7020 1760.