Please add details of your organisation here. This information will be used on the Life in Mind  portal to create a comprehensive list of organisations working in suicide prevention across Australia.

Please enter a valid email address.
Add links to your social media profiles to have them appear on your page.
Summary of your core business (maximum 750 characters).
If your organisation type is not listed above, please add it here.

You will have an opportunity to upload your fact sheets/resources once you have submitted this form

If your target audience is not listed above, please add it here.
Please list any of your organisations’ affiliations/memberships/advisory groups or networks.

PHN details

You have told us your organisation is a PHN, please provide some further details.

Please enter the name of each coordinator (first and last name), their position, and their contact email.
Please list each trial site including location and the target population.

Please enter a valid email so we can send you a confirmation message

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