We are open request for payment

The We are Open program offers coordination and funding to general practitioners (GPs), Aboriginal Medical Services (AMS), and pharmacies, to enable them to extend their operating hours during disasters and emergencies. The program's primary objective is to ensure people have access to essential primary healthcare services when they need it most.

We are Open is one of CCQ’s disaster response programs; it is one program within the organisation’s broader disaster management framework and programs.

General practice / Aboriginal medial service / Pharmacy name *

Contact person's first name *

Contact person's last name *

Email Address *

Contact phone *

Contact role / position *

Dates and hours included in this payment request *

CCQ recognises collecting data in disasters is difficult and not always possible. Please outline the following to the best of your ability.

How many people accessed the service during the extended hours? *

Detail any other services requested (if 'Other' selected above)

Is there any other important information you would like to share? *