Consumer and Carer Registration of Interest

The COPMI initiative is committed to consumer and carer participation. Consumers and carers are invited to register their details and areas of interest to be a participant in the Consumer and Carer Resource Group.

Once registration is completed you will be contacted by the Consumer and Carer Participation Officer or Project Officer to discuss your involvement in a range of COPMI activities, for example, providing feedback on resources, contributing to newsletter items or COPMI tips.

If you have any comments or require more information please do not hesitate to contact Lydia Du Rieu, Consumer and Carer Participation Officer at durieul@aicafmha.net.au or call 08 83670888 Ext 29.

To add your details to the Register for the COPMI Consumer and Carer Resource Group, please complete the details below!

*Surname: *Required

*FirstName: *Required

*Address: *Required

*Suburb: *Required

*Postcode: *Required

Phone:

Email:

*Method of Contact: Please advise from the list below which is your preferred means of contact:*Required

What type of COPMI activities would you like to be involved in? Some examples include: E list, Focus Groups, National COPMI Family Forum, Workshops, Peer Reviewer for information, resources or research, Education and training of workers-work force development, Media and communication, Newslettrs of COPMI news items, Groups for particular communities or interest groups eg rural consumers and carers, young carers

*Brief Description of Activities you are interested in: *Required

*Brief Description of your experience (eg detail the organisations you are involved with) or skills that you are believe are relevant to this area *Required

Please go over the information that you have added to check the accuracy of the information. If you are satisfied check the Information Accurate box, fill in the anti-spam box and then click submit!

* Information Accurate Yes *Required

*As an anti-spam measure, please type the word "submit" in the field below:
*Required

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Consumer and Carer Registration of Interest