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Health Information Sessions
Nillumbik Community Health Service - Let's Talk Health - Health Information Sessions
If you would like to book in for one of the upcoming Health Information sessions, please complete the questions below.
1.
Please complete the following details.
Name:
Address 1:
City/Town:
State/Province:
ZIP/Postal Code:
Email Address:
Phone Number:
2.
Which session did you want to book in for?
De-bunking the Myths of How to Stay Healthy - 7 May 2012
Parenting Adolescents in Step Families - 30 April 2012
Getting Ready for Primary School - 7 May 2012
Let's Talk...Teenagers and Sex - 28 May 2012
Navigating the Maze - Services for Living at Home Independently and Safely - 4 June 2012
Think Well, Feel Well - 25 June 2012
Comments
3.
How did you hear about the information sessions?
Received flier
Saw a poster
Friend/Family member told me about them
Preschool / School newsletter
Newspaper
Community Group
Other (please specify)
4.
If the session you are interested in is booked out, would you like to be placed on a waiting list for a similar talk in the future?
Yes
No
Comments
5.
Do you have any requests for future talks?
6.
Thanks for your interest. We will contact you prior to the session to confirm your place. If you would like us to contact you sooner, please tick the box below.
Please call me
Please email me