Skip to content
Search:
DONATE
LOGIN
Royal Flying Doctor Service
Telehealth Services
SPECIALISTS
RESOURCES
JOIN
SERVICES
ADDICTION
CARDIOLOGY
ENDOCRINOLOGY
GERIATRICS
PAEDIATRICS
PAIN
PSYCHIATRY
RESPIRATORY
LOCATIONS
NEWS
CONTACT
SPECIALISTS
RESOURCES
JOIN
SERVICES
ADDICTION
CARDIOLOGY
ENDOCRINOLOGY
GERIATRICS
PAEDIATRICS
PAIN
PSYCHIATRY
RESPIRATORY
LOCATIONS
NEWS
CONTACT
Online Agreement – Wellbeing
Online Agreement
for new Flying Doctor Wellbeing sites
Organisation Details
Name of organisation
*
Address
*
Address Line 1
City
State / Province / Region
Postal Code
Phone number
*
ABN
*
Authorised Representative Details
Name
*
First
Last
Email
*
Phone
*
Terms and conditions of use of Flying Doctor Wellbeing Online Platform:
The hosting of all Wellbeing appointments with clients will be held at the practice/health service, including appropriate rooms for face-to-face appointments, telehealth appointments, waiting area etc. The practice/health service will nominate one or more ‘Appointment Facilitator’ that will manage the booking and attendance of appointments for clients. The practice/health service will participate in evaluation activities including data collection and distributing client feedback forms when required. The practice will not share their allocated log in details with any other site. The term of this agreement is for 24 months and following this the agreement will remain active until a new agreement is completed. If either party want to cease this agreement prior to the 24 month period, confirmation of cessation must be received in writing. All Royal Flying Doctor Service (RFDS) equipment must be returned to RFDS Victoria within 1 month of the termination of this agreement.
Agreement
On behalf of the organisation, I agree to the above terms and conditions.
I understand that my failure to comply with these conditions will result in my access to the Wellbeing Platform being revoked from my organisation.
Captcha
*
=
Comment
Submit
Go to Top