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IAR-DST Training Registration | 26 Feb 2026 | 12:30pm
1.
Your Details
First Name
Surname
Primary Workplace
Phone
Preferred Email Address
Town / Postcode
Please do not provide common or shared email addresses (e.g. admin@organisation.org.au OR staff@organisation.org.au)
2.
Please provide your RACGP / ACRRM membership number.
*
3.
Stakeholder type
(Required.)
PHN
LHD
Mental Health Service Provider
Commissioned Providers
Aboriginal Community Controlled Organisations
General Practice
School
*
4.
Profession
(Required.)
GP
GP Registrar
Psychologist
Lived Experience Representative
Peer Worker
Nurse inc Mental health Nurse
Psychiatrist
Allied Mental Health Clinicians
Counsellor
Intake Staff
Specialist
Other
5.
If you selected "Other" as Health Professions, please fill out your profession
Please refer to
Terms and Conditions
section
6.
Is your PRIMARY place of practice (i.e., where you practice most often) located in the WNSWPHN catchment?
Please click
here
to confirm your place of practice is located in the WNSWPHN catchment before registering.
Please confirm your primary place of practice is located in WNSW PHN catchment
Yes
No
7.
By checking this box you submit your information to the Western NSW Primary Health Network (WNSW PHN), as the event organiser, who will use it to communicate with you via relevant registration and distribution lists regarding this event and other services.
Feedback provided by you during the workshop or through evaluation may be anonymously used to inform IAR implementation or to provide feedback to DoHAC.
I consent
I do not consent
. Please also email IAR.DST@wnswphn.org.au if you wish to UNSUBSCRIBE from the Education Program's distribution lists)
8.
How did you hear about this training?
