In-service or presentation request

Complete this form to arrange a deafness and mental health in-service, staff training session, or to ask us to present at your event.

Privacy disclaimer

Personal information collected by the Deafness and Mental Health Statewide Consultation and Liaison Service (a health agency) is handled in accordance with the Information Privacy Act 2009. The personal information provided by you will be securely stored and made available only to appropriately authorised officers of the health agency (or its agents). Personal information recorded on this form will not be disclosed to other parties without your consent, unless required by law.