CESPHN Primary Care Emergency Response Team

If you would like to register your interest to help in a disaster:

Complete the following form

You will receive a Pre-Emergency Information Pack with all the information and resources you need.

We will let you know when relevant training events are being held

In the event of a disaster, you may be contacted to provide support

All personal details will be securely stored in CESPHN’s customer relationship management system.

EOI - Questions

1. Please Provide your details below:

First Name

Last Name:

Mobile Number:

Work Number:

Email:

Workplace

If Other, Please specify below:

3. Languages spoken:

4. Do you have any previous experience as an emergency responder and/or disaster management?

Thank you for your interest in joining the CESPHN Primary Care Emergency Response Team. We will be in touch soon to provide you with more information.

If you have any questions or to find out more about this initiative, please email disastermanagement@cesphn.com.au