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Northern NSW Local Health District - Community Engagement Database

The Northern NSW Local Health District was established on the 1 January 2011 and is committed to providing clinicians, health consumers, and local communities with a greater say in the planning, delivery and evaluation of health services at the local level. To support this we have established a database whereby interested individuals and groups can register to receive the NNSW Local Health District Newsletter and be kept informed of opportunities to be involved in identifying priorities and future needs of communities across Northern NSW. Should you require further information please phone 6624 0333 or nnswengagement@ncahs.health.nsw.gov.au

PLEASE NOTE -  THIS FORM CAN BE COMPLETED ONLINE AT https://www.surveymonkey.com/s/NNSWCommunity

IF RETURNING A HARD COPY PLEASE MAIL TO:-
Community Engagement Manager
Northern NSW Local Health District
Locked Bag 11
LISMORE NSW 2480
Email: nnswlhd-engagement@health.nsw.gov.au

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* 1. Please provide your details below

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* 2. I would like to recieve a copy of the NNSW Local Health District Newsletter which will be sent via email

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* 3. I am interested in participating - please contact me about upcoming events or opportunities

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* 4. Would you be interested in receiving short electronic surveys to complete?

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* 5. Are you from a CALD (Culturally and Linguistically Diverse Background)?

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* 6. Are you Aboriginal or Torres Strait Islander?

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* 7. Do you have a disability?

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* 8. Are you a Carer?

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* 9. Please specify your age group

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* 10. Please list any particular health topics that you have an interest in:

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