Kids and Families Program Expressions of Interest

Confidentiality

As with your current doctors and other health care providers, the information obtained as part of the Kids and Families Program is completely confidential. Students know they need to respect your privacy and safeguard your confidentiality.

Your name is not disclosed with any material as a pseudonym is always used. Students are forbidden from releasing any information to another person without your specific consent.

Advice

Students are not qualified to give medical advice to you or your family. If concerns about the health of your child arise during the course of the program, you need to discuss these with your Health nurse and/or your General Practitioner.

Registration Form

Title

Given Name *

Family Name *

Street Address *

Suburb *

Post Code *

E-mail Address *

Phone number *

Baby's Due Date *

Day Month Year

Age Requirement *

I am 18 Years of age or older

How did you find out about the program? *

If you selected 'other' please provide details