Requesting organisation details

Please complete this form to request assistance finding a consumer or carer representative for your partnership activity.
 
Once received, your request will be assessed by our team. We will contact you shortly after to let you know if we have capacity to action your request.
 
If your request is accepted, we will do our best to find a representative for you. We cannot guarantee a match for all activities. This process takes time, so the more time you allow, the more likely it is that we can find the right consumer for you. Requests with less than three weeks turnaround are less likely to be fulfilled.
 
It is not essential that you complete every question, but the more information we have, the quicker we will be able to respond to your request.
 
If you have any questions, please contact us on  07 3012 9090.

A Guide for Staff Partnering with Consumers

Health Consumers Queensland have produced a comprehensive guide to assist staff in their consumer partnerships. You may find it a helpful reference both before and during your upcoming partnership activity. You can view a copy of this guide here >

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* 1. Organisation name

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* 2. Contact person's details

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* 3. Is your organisation a part of Queensland Health? (Please note that requests from outside of Qld Health incur a service fee)

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* 4. If yes, what is your Division (if applicable)

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* 5. What is your Branch?

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* 6. Please give a brief overview of your branch/team/organisation

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* 7. Where can we find your organisation's website for more detailed information?

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* 8. OR what is your Hospital and Health Service?

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