Registration form
Thank you for wanting to be part of our Aged Care Provider and Worker Engagement Register.

Expertise and insights directly from providers and people who work in aged care is an important part of making sure the processes and resources we design are fit for purpose and easy to use.

Please note that information collected through this register will only be used for the purpose of consultation and information sharing, and will not be used for compliance purposes.

After you have completed this registration, you will be placed on our list of providers and workers to contact when we have opportunities for engagement and feedback. We cannot confirm how often we will ask for feedback, but we will regularly stay in touch.

Thank you for your interest.

Filling out the form
Questions that are mandatory are marked with a red asterisk *.
This form will take around 10 minutes to complete.

Privacy statement
Your personal information is protected by law, including the Privacy Act 1988 and the Australian Privacy Principles.
Your personal information is being collected via this registration process for the purposes of conducting ongoing consultation about aged care. We will keep your personal information in a database. You can ask to be removed from the panel database at any time.
Click here to find out more information on our website about the way the Commission will manage your personal information.

Questions?
If you have any queries regarding this register, please email us via engagement@agedcarequality.gov.au with the subject title: "Provider and Worker Engagement Register".