Complete this form to:
- find out about your application's status
- make changes to your contact information
- get help to complete your application
- get a PH Connect logon password.
Collection Notice:
The Department of Health is collecting your information in order to manage or respond to your enquiry or notification. Personal information collected by the Department of Health is handled in accordance with the Information Privacy Act 2009. The information and documents collected for the purpose of this application may be accessible by authorised departmental persons. Your personal information will not be disclosed to other third parties without consent, unless the disclosure is authorised or required by or under law.
For any questions regarding this collection notice, please contact Radiation Health via email RHPrivacy@health.qld.gov.au. For information about how the Department of Health protects your personal information, how to access or correct your own personal information, or how to make a complaint about a breach of the privacy principles and learn how we deal with such a complaint, please refer to refer to the Department of Health's Privacy Policy.
Required fields are marked with an asterisk (*).