Interpreting for Allied Health Professionals Program Expression of Interest

Interpreting for Allied Health Professionals Program Expression of Interest

To register your interest for the Interpreting for Allied Health Professionals Program, please complete the form below:
Contact person name:
Health practice name:
Health practice address:
Health practice mailing address (if different to the above):
Phone number:
Email address:
ABN:
Disclaimer

I confirm that I am not a recipient of other interpreting services and I provide services within the Darling Downs and West Moreton PHN catchment.

I agree to:
- have my contact details featured on the Darling Downs & West Moreton PHN website
- complete Cultural Competency Training within 12 months of being approved for the Interpreting for Allied Health Professionals trial program
- bulk bill/charge minimal gap fee for refugee clients who I consult with as part of this program
- participate in an evaluation of the program
- keep the TIS client code provided by Darling Downs and West Moreton PHN confidential and only use it in relation to the provision of services within my practice.
Should be Empty: