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Request a brochure form

I would like to request hcscc brochures.
1. Your contact details
Use this section to provide us with the contact details for your organisation.

Fields marked with an asterisk * must be completed.
* Contact person’s name
* Organisation name
* Delivery address
* Daytime telephone number/s
* E-mail address
2. Order summary
Use this section to tell us which type and how many of each brochure you need.

Please allow 10 working days to receive the brochures.

A guide for consumers, please insert in the next box how many you need
A guide for providers, please insert in the next box how many you need
3. How did you find this Web site?
from a brochure
from an advertisement
from a friend
from a service provider
referral from another organisation
from a search engine
another way, please give details

OR

Fax to 08 8226 8620.

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health & community   services complaints commissioner