CESPHN Nurse contact form

As a nurse working in the Central and Eastern Sydney PHN, you can register free for most of our CPD education events.

Nurse details

First Name

Preferred Name

Last Name

Salutation

Gender

Qualification

Are you a qualified Authorised Nurse Immuniser? (A qualified ANI has successfully completed an accredited course)

AHPRA Registration Number

Personal Email Address

Work Email Address

Mobile number (personal number)

Work number (work phone)

Primary employment - Name of practice where you are currently employed

Secondary employment (if applicable) - Other practice/s where you are currently employed