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Health & Service Providers Listings

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These listings—

are created by others who have found the service providers, doctors etc to be respectful and attentive;

are added anonymously;

welcome service providers self-listing;

are not available online.

Please complete the following online form.

—required
I understand that

1.this information is not a public listing;
2.it is not guaranteed this listing will added to the resources;
3.by using this site or our referral lists I also agree to indemnify and hold MTRA and volunteers harmless from and against any liability, claims, damages, losses, costs and expenses (including attorneys' fees) arising from the use of this web site and/or resource materials.

—required
Category

— if you have selected 'Other' above, please tell me the category this should appear.

—required
State or Territory
ACT
Northern Territory
NSW
Queensland
South Australia
Tasmania
Victoria
Western Australia

—required
Name of Resource or Service Provider to be included in the Listings

—required
Address of Resource or Service Provider to be included in the Listings

—required
Telephone # of Resource or Service Provider to be included in the Listings
Area Code

Fax:

Email:

Website:

—required
Services offered by this Resource or Service Provider

Is a Referral Required?
No
Yes – by…
(from a GP, Psychiatrist, other specialist, etc.)

Languages spoken (if other than English):

Fees:

(if services aren’t covered by Medicare)

Wheelchair Accessible? --No it's not -- Yes it is

What is the client criteria?
(such as youth, adults, women, particular region, etc.)

Other remarks

Thank you. YOU HAVE COMPLETED THIS FORM

or

Citation — Health and Service Providers Project. (2004-7).

"Resources for transition and beyond in Australia"

Copyright © FTM Australia (MTRA). all rights reserved | Webmanager - Citing this Website

page revised - 14 April 2007

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