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Request an appointment

This request is for a child of First Nation's Descent aged 6 and under.

Simply fill in client details below and we'll be in touch soon.

Carers First Name

Carers Last Name

Mobile Number

Post Code

Relationship to child

Child's First Name

Child's Last Name

Date Of Birth

Does the child identify as Aboriginal, Torres Strait Islander or both?

Aboriginal Torres Strait Islander Both

Please contact me by

Phone Email

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The flags of the Australian Aboriginal and Torres Straight Islander peoples

Hearing Australia acknowledges the Aboriginal and Torres Strait Islander peoples, the Traditional Owners and Custodians of the land that we live and work on, and we pay our respects to Elders past, present and future.