Update Contact Details

This form is for approved providers, aged and community services and peak bodies currently on the Ageing and Aged Care Division’s contacts database and already receiving regular information from the Ageing and Aged Care Division.

In this section:

The information you provide will be used solely for the purpose of providing you with information from the Department of Health and Ageing on ageing and aged care issues that may affect your organisation. We will not use or disclose your email address or other contact details for any other purpose, without your prior written consent.

Please select an option below and fill in the contact details.
Are you an/a:

Approved Provider or

Residential Care Facility or

Community Care Service or

Peak Body

Name of above:

Position title of person you wish to have mail addressed to eg Director of Nursing, CEO

Postal Address:

Phone:

Fax:

Email (one address only per provider, service or peak body):
Please provide an organisational email address. If there is no organisational email address, a personal email address can be provided, on the understanding that the one person receiving the emails will be responsible for distributing the information within their organisation. If that person leaves, your organisation will have to provide us with a new email address in order to continue receiving emailed information.

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