Mental Health Carers Online Forum Application Form
First Name (*)

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Last Name (*)

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Postal Address (*)

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State (*)

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Postcode (*)

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Email (*)

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Gender



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Year of birth (*)

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How long have you been a mental health carer? (Years and months) (*)

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Are you a member of a mental health related group or organisation e.g. ARAFMI, MIF, SF? (*)



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Details

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Carers speak freely on the Forum so please give a brief outline of your mental health caring below (*)

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MHCA Update

The Update is a selection of information, events, opinion, newspaper articles, examples of good practice etc all related to mental health and is relevant to consumers, carers and community organisations. The Update contains information which may not be accessible either by virtue of time or access. It is all contained in one email to keep the download small for those on dial up with further information indicated by web site addresses. The Update is sent out every two or three weeks.



Would you like to receive the MHCA Update? (*)



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If you have any queries, please email website@mhca.org.au

This online form is not encrypted, and MHCA cannot guarantee the security of any electronic exchange of information. Complaints can be made by forwarding a completed complaint form to MHCA, PO Box 174 Deakin West ACT 2600. Alternatively, you can provide details of your complaint to MHCA by phoning (02) 6285 3100