Register

All fields marked with an asterisk (*) are required.

Connect with COORDINARE - is a place to get involved.

You can connect with us in two ways – as a Friend of COORDINARE or as a health professional. Together we can make a difference to local health outcomes! To connect please complete the following registration form:

Username (select a screen name which will be visible to others when you contribute)
If you are a health professional we recommend using your full name as your username.

Email (a verified email address is required to keep your log in details safe)

Password

Passwords must be 8 to 16 characters and contain a combination of numbers and letters, with at least one lower case letter and one upper case letter.

Password confirmation

Please select whether you are registering to use our site as a Friend of COORDINARE or health professional:

I am wanting to become a Friend of COORDINAREI am a health professional

You are registering to become a Friend of COORDINARE

The easiest way to connect with us is to become a Friend of COORDINARE. Becoming a Friend will provide opportunities to complete surveys on numerous health topics relevant to your region, training, and other opportunities to get involved. Some opportunities are paid, others are voluntary. You can get involved as much or as little as you like. The following questions help us get to know you and your interests.

What is your date of birth?

What is your postcode?

Select your Local Government Area / Council / Shire

Gender

FemaleMaleOtherPrefer not to say

I identify as (optional response to help us better understand our demographics):

Aboriginal and/or Torres Strait IslanderLGBTQIA+Living with a disabilityI was born overseasI speak a language other than English at homeA carerSomeone who has lived experience of mental health issues (consumer)Someone who has lived experience of mental health issues (family or carer)

Options are limited to

COORDINARE occasionally looks for consumers to help inform the work we do, which are paid opportunities. Please select any opportunities you might be interested in (there is never any obligation):

Options are limited to

Please specify:

Maximum characters 255

Please select any health topics with which you have experience:

Chronic conditions (e.g. diabetes, kidney disease, COPD)Alcohol and other drugsCaring for a family member in end of life / palliative careMental health and/or suicidality None of the above

Options are limited to

How did you hear about us?

Please specify:

Maximum characters 50

You are registering to be involved as a health professional

Your Health Professionals Hub in an online space to learn, collaborate and connect with your colleagues.

Do you currently work in the 'health care / medical services' sector?

YesNo

Please specify:

Maximum characters 255

What is the name of the primary practice / organisation where you work?

Maximum characters 255

What is the postcode of the practice / organisation where you work?

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