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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 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