Connected in Crisis - Request a Mentoring Session

Request A Session
Full Name:*

First NameLast Name
Phone Number*
Format: (000) 000-0000.
E-mail:*
example@example.com
Organisation Name
If applicable
MyselfSomeone I supportOther
YesNoOther
1 PersonSmall Group less then 10Large Group more then 10Other
Under 1818 - 2526 - 4041 - 60Over 60
Send messages or emailsUse the internetUse emergency disaster dashboardsUse health apps like My Health RecordDo telehealth appointmentsUse e-scripts to get medicineMake medicare claimsOther
March 10, 2026March 12, 2026March 24, 2026March 25, 2026Other
Wide Bay Kids is collecting this information as part of our Connected in Crisis project. For further information email admin@widebaykids.com.au
This project is supported by the Resilient CARE program, a Country to Coast Queensland and Australian Business Volunteers partnership, with received funding from the Australian Government.
Should be Empty:

Request A Session