Join as Full Membership - ACT Mental Health Consumer Health

Primary Membership

Identify as having lived experience of mental illness or psychiatric disorder, or has personally used a mental health service for their own mental health needs;

A resident in the ACT or uses services and programs in the ACT;

Accepts the objectives of the Network; and

Lodged an application for membership

Membership *

Primary

Total Amount

Email Address *

Name and Address

First Name *

Last Name *

Street Address (Home)

City (Home)

Postal Code (Home)

Country (Home)

State (Home)

Individual Additional Information

Aboriginal

Yes No

Culturally and Linguistically Diverse Background

Yes No

Torres Strait Islander

Yes No

Primary Membership Signup