Submit an enquiry to the PACOP team

Please provide your contact details.
Name Name First Last
Email
Phone
What is your preferred method of contact?

What is your preferred method of contact? Email Phone
Please tell us more about yourself.
What is your background? (Select one only)

What is your background? (Select one only) I work in an Aged Care Home I work in a Residential Aged Care Organisation I am a resident I am a family member / friend of a resident I am a consumer I am health care professional I am a care worker Other
If other, please specify:
My enquiry is regarding: (select one only)

My enquiry is regarding: (select one only) Learning more about PACOP Joining PACOP The PACOP Profile Collection The PACOP Outcomes Collection Collaboration Other
If other, please specify:
Please add any further details about your request:
Please add any supporting documentation:

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Data collection statement

The information you provide on this form will be stored on a secure database and accessed by the PACOP team. The team will endeavour to respond to all enquiries in a timely manner.

Further information regarding UOW’s commitment to privacy can be found at https://www.uow.edu.au/privacy/ or by calling 1300 367 869 within Australia.