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Bowel Screening Promotion May 2026
Section 1 - Registration
Please complete this brief section to register for campaign resources
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*
What is the full name of the practice?
(Required.)
*
Which Health District is the practice located in?
(Required.)
Auckland
Bay of Plenty
Canterbury
Capital and Coast
Counties Manukau
Hawke's Bay
Hutt
Lakes
MidCentral
Nelson Marlborough
Northland
South Canterbury
Southern
Tairāwhiti
Taranaki
Waikato
Wairarapa
Waitematā
West Coast
Whanganui
*
Is the practice a VLCA (Very Low Cost Access) practice?
(Required.)
Yes
No
*
Please enter the details of the practice contact person for the Bowel Screening Promotion
(Required.)
Name
Email address
What is the name of the practice bowel screening Champion?
What is the email address of the practice bowel screening Champion?
What is the practice type (indicate as many as apply)?
Group/Team
Solo
Iwi/Māori practice
Other (please specify)
Please provide the approximate number of enrolled patients aged 58-74 if known
Please enter the practice delivery address (we will send you promotional resources)
Name
Company
Address
Address 2
City/Town
ZIP/Postal Code
Phone Number
Resources are in English, with some posters also available in Te Reo Māori, Samoan and Tongan. Please select if you would like posters in these languages
Te Reo Māori
Samoan
Tongan
Would you like to go in the draw for a practice morning tea?
Yes
No
Current Progress,
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