Attendee details

The NDSS Helpline is available if additional assistance is needed 1800 637 700.

I am a registrant of the NDSS

I am not a registrant of the NDSS

If you don’t have an email or mobile phone you will need to call Diabetes WA on 1300 001 880 to book for this event.

Registrant number *

Date of birth * For example, 12 11 2007

Day

Month

Year

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Confirmation

If you entered your details correctly, a code will be sent to you via email and/or SMS. Please confirm the code below. If you don't receive the code, please call the helpline to complete your registration.

Code

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First name *

Last name *

Email address*

Phone number⁺

⁺ Phone number is not mandatory, however it is useful for receiving important event notifications.

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First name *

Last name *

Email address*

Phone number⁺

⁺ Phone number is not mandatory, however it is useful for receiving important event notifications.

Health professional type * Aboriginal & Torres Strait Islander Health Worker Aboriginal & Torres Strait Islander Practitioner Credentialled Diabetes Educator Dentist Diabetes Educator Dietitian Endocrinologist Exercise Physiologist GP Health Professional caring for Aboriginal clients Health Promotion Officer Midwife Non-Allied Health Professional Nurse Nurse Practitioner Nutritionist Occupational Therapist Other Health Professional Pathologist Pharmacist Physiotherapist Podiatrist Practice Manager Psychiatrist Psychologist

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