Mailing List Sign Up

Please note: this form is to register for the 1800 My Options mailing list. If you would like to register as a sexual and reproductive health service provider in our database, please follow this link


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* 1. Title

First Name

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* 2. First Name

Last Name

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* 3. Last Name

Email Address

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* 4. Email Address

Organisation Name

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* 5. Organisation Name


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* 6. Title/Role

Field of Practice

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* 7. Field of Practice

Phone Number

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* 8. Phone Number

Street Address

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* 9. Street Address


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* 10. Suburb


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* 11. State

Post Code

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* 12. Post Code

Areas of Interest (select all that apply)

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* 13. Areas of Interest (select all that apply)

About the 1800 My Options Mailing List

1800 My Options, a service of Women's Health Victoria, is funded by the Victorian State Government. It provides impartial and non-biased information and pathways to women seeking pregnancy options, contraception and sexual health services.

For more information about 1800 My Options, please call 1800 696 784 and ask to speak to a Team Leader, visit or contact

We collect, hold, use and disclose personal information in accordance with our privacy policy. Please note that the storage of information within the 1800 My Options database will comply with national privacy legislative requirements as well as with Victorian State Government legislative requirements. You can unsubscribe from this mailing list at any time.