I have a space to share form | South Western Sydney PHN

This free service is made available to GP practices and allied health professionals to foster interdisciplinary collaboration within South Western Sydney.

Complete this form to advertise a room available in your GP practice.

Your free notice will be published once reviewed by SWSPHN.

multidisciplinary care co-location space

Location

Site location (by Local Government Area)*

Bankstown LGA

Camden LGA

Campbelltown LGA

Fairfield LGA

Liverpool LGA

Wollondilly LGA

Wingecarribee LGA

About the space

Area

Capacity

Rate

Snippet*

A brief description to appear on the listings summary page.

Main text of your advert*

Terms Sought

Terms sought

Upload photos of space

Drop files here or

Accepted file types: jpg, png, Max. file size: 100 MB, Max. files: 9.

Upload up to nine photos to showcase the space your have available.

Advert contact details

Enter your preferred contact information for people to respond to your advert.

First name

Last name

Email

Phone

Advertiser details

The below information will not be viewed on the website. Provide this information for South Western Sydney PHN to contact you in relation to any admin or technical aspects of your request.

First name*

Last name*

Trading name

ABN

Email

Phone

Ad display dates

Select a date in the future, allowing time for your request to be reviewed and published. If you leave this blank your notice will be published in approx. four business days.

Advert start date*

First day your advert will be published on the website

Advert closing date*

Your Advert will be unpublish at midnight on this date

Consent*

I acknowledge and consent to the collection and use of my personal information in accordance with South Western Sydney PHN’s Privacy Policy. I also acknowledge that I am not sharing another person’s personal information without their informed consent. I understand SWSPHN takes my privacy seriously and will handle my data securely.