Register your Interest
Continence Health Australia will have opportunities for people to share their personal and professional experiences regarding continence support in aged care settings to enhance My Continence Care. We welcome you to register interest for future collaboration.
About You
Last Name
First Name
Email
Mobile
Employer Name
State
Please select...
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Choose one or more options:
I work for a residential aged care provider
I work for an in-home aged care provider
I am a consumer living in a residential aged care services
I am a consumer using in-home aged care services
Other
Other Details
Please provide more information regarding your interest in My Continence Care
If you require assistance completing this form, please email
mycontinencecare@continence.org.au
and someone will be in touch accordingly.
Contact Information