Membership with Spinal Home Help
Your contact details will only be used for contacting you regarding SHH activities, events, opportunities and marketing. They will not be shared with any third party without your express consent.
Name (first and last)
Contact Phone Number
Would you like your email address added to our Newsletter Mailing List?
Yes, add me
No, I'd prefer not to
Contact address (home or postal)
Describe your circumstances (choose the one that most closely matches you)
Person with a spinal cord injury
Carer (unpaid, usually a close family member or partner)
Spouse or family member who is NOT a carer
Allied Health Professional
Disability or Health service provider
Non-disability or health-related business/organisation
Organisation or company (if applicable)
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