Nurse practitioner consultation group - Expression of Interest

Consultation on 10 Year Nurse Practitioner Plan

Thank you for your interest in this consultation. The consultation groups have now been filled, but please complete the form if you would like to be involved in future consultations on this subject. Consultations will continue through the different stages as the Government develops the Plan, and CHF would value your contributions.

First Name *

Last Name *

Email *

Mobile *

In which state or territory do you live in?

Which of the following best describes your location? *

I live in an urban/metropolitan area

I live in a regional city or town

I live in a rural town or area

I live in a remote town or area

Do you identify as a member of any of the following groups [select all that apply]? *

Aboriginal or Torres Strait Islander

Culturally and linguistically diverse (CALD)

Person with a disability (PwD)

LGBTIQA+

None

I do not wish to answer

Other - please specify

Do you identify as a member of any of the following groups [select all that apply]? Other - please specify

Your identity will be kept confidential. This information is for statistical information within this project only.

Privacy

I agree

I have read the privacy policy and agree to CHF storing my information for the purposes of contacting me about this form or related matters.

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Nurse practitioner consultation group - Expression of Interest

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Consultation on 10 Year Nurse Practitioner Plan

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Nurse practitioner consultation group - Expression of Interest

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Consultation on 10 Year Nurse Practitioner Plan

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