Refresh Your Self Waitlist

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Thank you for your interest in attending a Refresh Your Self session with Mindfulness Programs Australasia. To register your interest in an upcoming session, please fill in the form below and we will be in contact with you when a suitable session is available in your area. If you would prefer to chat, please call us on 0488 064 228.

Please note: these funded sessions are available for Tasmanian adults (over 18) who have previously attended a course with us.

MINDFULNESS PROGRAMS AUSTRALASIA (MPA) 

Consent Form   - the legal bit to do before you give your personal information!

Mindfulness Programs Australasia needs to collect minimal personal information to meet funding requirements. The information is kept securely and it is used only by the authorised staff at Mindfulness Programs Australasia. Detailed information is available in our “Privacy policy for management of personal information”, which can be downloaded here.

By checking the box below you acknowledge that you have read and understood this Consent Form and agree to Mindfulness Programs Australasia recording your information to use for your health, safety, data collection and reporting, directly related to the MPA service.

I, (your name in Block Capitals)

Please note: If, after reading this form you are at all unclear about any of the information provided, please discuss these with your course facilitator, the MPA administration on 0488 064 228 or email your concerns to admin@mindfulnessaus.com.au. For any complaints please contact either Miranda on 0488 997 095 or Christine on 0427 824 759, and/or Primary Health Tasmania on 1300 653 169. You may also ask your facilitator for a Complaints/ Compliments form, or you may fill in the form online. We greatly appreciate your assistance.

The following questions should take about 5 minutes to complete – thank you!

Thank you for completing this form. If this has raised any difficulty for you please call Lifeline on 13 11 14 or the Mental Health Helpline on 1800 332 388. For a brochure on what to expect in our programs click here. If you would like to start practicing mindfulness and other psychological strategies for wellbeing while you wait for us to get back to you click here. You might also like to try the 'Take a Minute' challenge - improve your understanding of mental health and the little things you already do that boost your wellbeing: https://takeaminute.com.au/ Please note that if you have applied for a waitlist, it might be weeks or months before we have a course available so please see your GP if you need more immediate support.