Home
Find Activities
We Asked, You Said, We Did

Register your Expression of Interest in Early adoption of PROMs

Page 1 of 4

Closes 28 May 2026

This service needs cookies enabled.

About you

1. Your name:

First name: (Required)

Last name: (Required)

2. What are your contact details?

Email: (Required)

Best contact number: (Required)

3. What is your profession?

(Required) Medical Nursing Midwifery Allied Health Mental Health Other (please specify)

If other, please specify

4. Where do you work?

(Required) Child and Adolescent Health Service East Metropolitan Health Service North Metropolitan Health Service South Metropolitan Health Service WA Country Health Service PathWest

Please list the site/s you work at: (Required)

5. What clinical speciality or service area do you work in?

Clinical Specialty or service area (Required)

6. What care setting do you primarily work in?

(Required) Inpatient Outpatient Community Emergency Multiple settings

Accessibility
Terms of Use
Cookies
Privacy
Help / feedback

Citizen Space from Delib

For more information, contact HealthPolicy@health.wa.gov.au

www.healthywa.wa.gov.au

www.health.wa.gov.au

Acknowledgement of Country
The Government of Western Australia acknowledges the traditional custodians throughout Western Australia and their continuing connection to the land, waters and community. We pay our respects to all members of the Aboriginal communities and their cultures; and to Elders both past and present.