Help and support

Request a call back (health professionals)

Help and support
National Continence Helpline
Request a call back – health professionals

Heath professionals such as physiotherapists, GPs and specialists can use this form to:

book a call back from a nurse continence specialist
book a time for a nurse continence specialist to contact a client or patient

Calls can be scheduled for times when the National Continence Helpline is open: Monday to Friday from 8am to 8pm (Vic time). Closed on national public holidays.

Return to the National Continence Helpline.

Health professional details

Professional type

Profession

Organisation

Health professional first name

Health professional last name

Health professional postcode

Health professional phone

Health professional email

Client details

Choosing this option indicates that the client has consented to being directly contacted by the National Continence Helpline.

Client first name

Client last name

Client gender

Client age

Client phone

Client email

Client state or territory

Enquiry details

Details of enquiry

Further details (relevant medical, surgical and continence history)

Preferred date of call (weekdays only)

IMPORTANT: Call backs cannot be scheduled for a weekend or a National Public Holiday.

Preferred time of call

IMPORTANT: All call times will be scheduled and made Monday to Friday 8am - 8pm (VIC time). This may vary by state due to time zone differences.

HP State