IDENTIFYING CONNECTIONS ACROSS SERVICE PROVIDERS ON HEALTHPATHWAYS
HEPATITIS C

 
Please answer all questions below.
1


Demographic question - About you and your workplace.
 
1Q1. You are a
   GP
   GP Registrar
   Medical specialist
   Registered/enrolled nurse
   Practice manager
   Allied Health practitioner
   Other (Please specify)
 

2
Q2. Please write below the name of your healthcare provider / practice.
3


Network questions Ė How you link with others in the pathways.
 
3Q3. Below are the names of agencies/individual clinicians that can offer services across the Hepatitis C pathways. Please indicate which ones you are AWARE of.

Note: if you donít select any agencies/individual clinicians below you will be taken to the final question in this survey.

Alcohol & drug community support services - ACT
3.1  GuganGulwan Youth Aboriginal Corporation
3.2  CAHMA (peer drug organisation)
3.3  Arcadia House
3.4  Directions ACT
3.5  Toora Women Inc
3.6  Youth Junction

Counselling & treatment services - ACT
3.7  Winnunga Nimmityjah Aboriginal Health Service
3.8  ACT Health - Alcohol and Drug Service
3.9  Karralika Program
3.10  Salvation Army Canberra Recovery Services
3.11  Ted Noffs Foundation
3.12  Womenís Centre for Health Matters

Counselling & treatment services - NSW
3.13  Moruya Sexual Health - HIV & Hepatitis Service
3.14  Goulburn Community Health Centre
3.15  Mental Health and Drug and Alcohol Service - Southern NSW LHD

State based agency - ACT
3.16  Hepatitis ACT
3.17  ATODA (ACT AOD peak)
3.18  AIDS Action Council of the ACT
3.19  ACT Health - The Liver Clinic

State based agency - NSW
3.20  Hepatitis NSW
 

4
Q4. Are there any 'other' agencies/individual clinicians that can offer services across the Hepatitis C pathways. List up to three names


4.1  Other 1  
4.2  Other 2  
4.3  Other 3  
 


 
   

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