Privacy Opt Out Request

Central Queensland, Wide Bay, Sunshine Coast PHN (the PHN, we, our) is committed to ensuring that your information is handled in accordance with Australian privacy laws. The PHN uses this form to collect contact details needed to locate the subcription or information collection that you wish to unsubscribe from or opt out of. Your information is never used for commercial purposes. See PHN Privacy Matters for policies and more.

Which information sharing activity you would like to opt out of? *Provide as much detail as you can, how was the information collected- Survey, form, event registration, referral? Which program was this related to e.g. Mental Health, Practice support. Who sent you the request for information?

First Name

Last Name

Email Address

I wish to be opted out of sharing my information for the above activity *

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