InterLink Registration Form
Please provide us with some details so that we can match you with the best InterLink program.

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Email *
Name *
Pronouns
Phone *
What is the postcode where you live? *
Do yo have a Medicare Card?
Clear selection
Do you have a Health Care Card or a Pensioner Concession Card?
Clear selection
Are you an NDIS Participant?
Clear selection
Do you have an intersex variation (variation in sex characteristic, "DSD") *
Required
If you are a parent/guardian of a young person with an intersex variation or registering on behalf of someone else, who are you registering for (select all that apply)?
What age groups you are registering for? *
Required
What style of support are you looking for? *
Required
Do you have any accessibility issues we should be mindful of?
Have you already connected with peer support for your (your child's) intersex variation?
Clear selection
Do you currently have access to a trusted mental health practitioner?
Clear selection
Is there something specific you hope to get from InterLink or is there anything else you would like to share with us at this point?
How did you find out about InterLink? (tick all that apply): *
Required
Thank you for your registration.  We will contact you soon to complete your booking.  
For more information about upcoming InterLink sessions please contact us on 07 3017 1724 or email bhart@qc.org.au 
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