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Request to be contacted regarding the Coronavirus in Victorian Healthcare and Aged Care Workers (COVIC-HA) cohort study
The Coronavirus in Victorian Healthcare and Aged care workers study (COVIC-HA) wants to know how general practice staff in Greater Melbourne are managing through this unique time. All that's required is a survey to be sent to all practice staff and collection of some demographic information. Practices will be reimbursed for their time.

Please complete this form if you would like to be contacted regarding participating in the COVIC-HA Study. A staff member will be in touch with you shortly.
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Name *
Email *
Practice Name and Address *
Phone number *
Where did you hear about the COVIC-HA study?
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