NAC Health Professionals Network

* indicates required

Name: Email: Comment:

Email Address *

First Name

Last Name

Year or birth (e.g. 1980)

What is your profession? *

How much of your regular work involves asthma? *

Where do you work?

Which area do you work in?

What setting do you work in? Tick all that apply

General practice
Hospital
Community health service
Private practice
Aboriginal health service
Pharmacy
Aged care
Schools
Other

Email Permissions

National Asthma Council Australia will use the information you provide on this form to be in touch with you and to provide updates via email. Please confirm you would like to hear from us.

Confirm

You can unsubscribe at any time by clicking the link in the footer of our emails. For information about our privacy practices, please visit nationalasthma.org.au/privacy

GDPR

We use Mailchimp as our marketing platform. By clicking below to subscribe, you acknowledge that your information will be transferred to Mailchimp for processing. Learn more about Mailchimp's privacy practices here.