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Survey for Geriatric Oncology Community of Practice - 2 December 2025
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1.
Contact
(Required.)
Name
Email Address
*
2.
Service details
(Required.)
Hospital/health service name/organisation
*
3.
State
(Required.)
ACT
NSW
NT
QLD
SA
Tasmania
Victoria
WA
National/Cross-border service (please specify States covered)
*
4.
Location (choose as many as apply)
(Required.)
Metropolitan
Regional
Rural
5.
Provide a short description of your geriatric oncology service e.g purpose, disciplines involved, (including from cancer services and geriatrics), setting, population (e.g tumour group).
6.
Are there elements of the service which you would like to expand and do you have interest from relevant disciplines (e.g geriatrics, allied health)
7.
What is your service interested in collaborating on to support implementation of the OCP? (Select all that apply)
Research
Clinical network
Advocacy
Quality improvement
Other (please specify):
8.
Do you have any suggestions on ways to support implementation of the OCP locally within your health service, or at a broader level?
9.
Please provide any further comments:
