General practice and primary health care feedback / request for support:

As a Primary Health Network, we have a support role in the immediate response to emergency / disaster situations and a growing role as the region moves into recovery and rebuilding.

We have a key role in helping to source and coordinate people and other resources that can assist in the response and recovery process. We work closely with the Local Health Districts and emergency response agencies, who have frontline roles under statewide emergency management arrangements, to ensure that any resources we can source are provided in a coordinated way.

To assist in supporting local responses, could you please complete the form below:

First name:

Last name:

Principal place of practice / work:

*Other position not listed above - please specify:

Mobile:

Landline phone:

Email:

Does your organisation / practice need support to maintain services in disaster-affected locations? If so, please let us know what would assist:

If the impact of the disaster on your organisation / practice has been so great that services will be significantly interrupted, please let us know what interruptions you are experiencing:

Please add any additional comments you want to share: