There is a license error on this site:
LicenseException: 172.31.26.112 is not a valid ip-address.
The Web site remains functional, but this message will be displayed until the license error has been corrected.

To correct this error:If you do not have a license file, please request one from EPiServer License Center.
Update Contact Details Form - Diabetes Australia

Update Contact Details Form

To register with the National Gestational Diabetes Register please fill out this pdf form and return to ngdr@diabetesaustralia.com.au or post to GPO Box 9824 in the capital city of your state or territory.

Please do not use the form below, which is currently not working.

We apologise for this.

 

 
* denotes mandatory fields
NDSS Registration Number
First Name *
Surname *
Previous name
Date of Birth (DD/MM/YYYY) *

Previous Address *
New Address
Daytime phone number *
Mobile phone number
Email address *

General Practitioner (GP) name
Practice name
General Practitioner (GP) address