{"id":2334,"date":"2026-07-06T15:30:41","date_gmt":"2026-07-06T05:30:41","guid":{"rendered":"https:\/\/metronorth.health.qld.gov.au\/ourhealthourway\/?page_id=2334"},"modified":"2026-09-24T15:11:24","modified_gmt":"2026-09-24T05:11:24","slug":"consumer-eoi","status":"publish","type":"page","link":"https:\/\/metronorth.health.qld.gov.au\/ourhealthourway\/consumers-vendors\/consumer-eoi","title":{"rendered":"Consumer Expression of Interest"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-stretch fusion-flex-content-wrap\" style=\"max-width:1352px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_4 1_4 fusion-flex-column rhs-col\" style=\"--awb-bg-size:cover;--awb-width-large:25%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.68%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.68%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-widget-area awb-widget-area-element fusion-widget-area-1 fusion-content-widget-area qh-side-nav\" style=\"--awb-title-size:1.214rem;--awb-title-color:#333333;--awb-padding:0px 0px 0px 0px;\"><div id=\"nav_menu-2\" class=\"widget widget_nav_menu\" style=\"border-style: solid;border-color:transparent;border-width:0px;\"><div class=\"menu-lhs-menu-our-health-our-way-container\"><ul id=\"menu-lhs-menu-our-health-our-way\" class=\"menu\"><li id=\"menu-item-2348\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-home menu-item-has-children menu-item-2348\"><a href=\"https:\/\/metronorth.health.qld.gov.au\/ourhealthourway\/\">Our Health, Our Way<\/a>\n<ul class=\"sub-menu\">\n\t<li id=\"menu-item-2349\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-2349\"><a href=\"https:\/\/metronorth.health.qld.gov.au\/ourhealthourway\/healthcare\">Services and information<\/a>\n\t<ul class=\"sub-menu\">\n\t\t<li id=\"menu-item-2357\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2357\"><a href=\"https:\/\/metronorth.health.qld.gov.au\/ourhealthourway\/healthcare\/services\">Healthcare services<\/a><\/li>\n\t\t<li id=\"menu-item-2351\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2351\"><a href=\"https:\/\/metronorth.health.qld.gov.au\/ourhealthourway\/healthcare\/information\">Healthcare information<\/a><\/li>\n\t<\/ul>\n<\/li>\n\t<li id=\"menu-item-2350\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-2350\"><a href=\"https:\/\/metronorth.health.qld.gov.au\/ourhealthourway\/healthcare-programs\">Healthcare programs<\/a>\n\t<ul class=\"sub-menu\">\n\t\t<li id=\"menu-item-2358\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2358\"><a href=\"https:\/\/metronorth.health.qld.gov.au\/ourhealthourway\/healthcare-programs\/better-together-van\">Better Together Van<\/a><\/li>\n\t\t<li id=\"menu-item-2359\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2359\"><a href=\"https:\/\/metronorth.health.qld.gov.au\/ourhealthourway\/healthcare-programs\/better-together-medication\">Better Together Medication Access<\/a><\/li>\n\t\t<li id=\"menu-item-2360\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2360\"><a href=\"https:\/\/metronorth.health.qld.gov.au\/ourhealthourway\/healthcare-programs\/sistas-shawl\">Sistas Shawl<\/a><\/li>\n\t\t<li id=\"menu-item-2361\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2361\"><a href=\"https:\/\/metronorth.health.qld.gov.au\/ourhealthourway\/healthcare-programs\/deadly-feet\">Deadly Feet<\/a><\/li>\n\t\t<li id=\"menu-item-2362\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2362\"><a href=\"https:\/\/metronorth.health.qld.gov.au\/ourhealthourway\/healthcare-programs\/deadly-smiles\">Deadly Smiles<\/a><\/li>\n\t\t<li id=\"menu-item-2363\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2363\"><a href=\"https:\/\/metronorth.health.qld.gov.au\/ourhealthourway\/healthcare-programs\/emergency-care\">Virtual emergency care<\/a><\/li>\n\t\t<li id=\"menu-item-2364\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2364\"><a href=\"https:\/\/metronorth.health.qld.gov.au\/ourhealthourway\/healthcare-programs\/telehealth\">Virtual care and Telehealth appointments<\/a><\/li>\n\t\t<li id=\"menu-item-2365\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2365\"><a href=\"https:\/\/metronorth.health.qld.gov.au\/ourhealthourway\/healthcare-programs\/partnership\">Partnership programs<\/a><\/li>\n\t<\/ul>\n<\/li>\n\t<li id=\"menu-item-2373\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-2373\"><a href=\"https:\/\/metronorth.health.qld.gov.au\/ourhealthourway\/campaigns\">Campaigns<\/a>\n\t<ul class=\"sub-menu\">\n\t\t<li id=\"menu-item-2374\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2374\"><a href=\"https:\/\/metronorth.health.qld.gov.au\/ourhealthourway\/campaigns\/stop-racism\">Stop Racism. It Starts with Me<\/a><\/li>\n\t\t<li id=\"menu-item-2375\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2375\"><a href=\"https:\/\/metronorth.health.qld.gov.au\/ourhealthourway\/campaigns\/accurate-identification\">Accurate Identification<\/a><\/li>\n\t\t<li id=\"menu-item-2376\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2376\"><a href=\"https:\/\/metronorth.health.qld.gov.au\/ourhealthourway\/campaigns\/kindness-care-community\">Kindness, Care, Community<\/a><\/li>\n\t<\/ul>\n<\/li>\n\t<li id=\"menu-item-2378\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2378\"><a href=\"https:\/\/metronorth.health.qld.gov.au\/ourhealthourway\/workforce\">Workforce<\/a><\/li>\n\t<li id=\"menu-item-2380\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-2380\"><a href=\"https:\/\/metronorth.health.qld.gov.au\/ourhealthourway\/consumers-vendors\">Consumers and vendors<\/a>\n\t<ul class=\"sub-menu\">\n\t\t<li id=\"menu-item-2381\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2381\"><a href=\"https:\/\/metronorth.health.qld.gov.au\/ourhealthourway\/consumers-vendors\/consumer-eoi\">Consumer Expression of Interest<\/a><\/li>\n\t\t<li id=\"menu-item-2382\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2382\"><a href=\"https:\/\/metronorth.health.qld.gov.au\/ourhealthourway\/consumers-vendors\/vendor-eoi\">Vendor Expression of Interest<\/a><\/li>\n\t<\/ul>\n<\/li>\n\t<li id=\"menu-item-2384\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-2384\"><a href=\"https:\/\/metronorth.health.qld.gov.au\/ourhealthourway\/news\">News<\/a>\n\t<ul class=\"sub-menu\">\n\t\t<li id=\"menu-item-2385\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2385\"><a href=\"https:\/\/metronorth.health.qld.gov.au\/ourhealthourway\/news\/talk-about-newsletter\">Talk-About Newsletter<\/a><\/li>\n\t\t<li id=\"menu-item-2386\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2386\"><a href=\"https:\/\/metronorth.health.qld.gov.au\/ourhealthourway\/news\/year-in-review\">Year in review<\/a><\/li>\n\t<\/ul>\n<\/li>\n\t<li id=\"menu-item-2388\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-2388\"><a href=\"https:\/\/metronorth.health.qld.gov.au\/ourhealthourway\/keep-connected\">Keep connected<\/a>\n\t<ul class=\"sub-menu\">\n\t\t<li id=\"menu-item-3004\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3004\"><a href=\"https:\/\/metronorth.health.qld.gov.au\/ourhealthourway\/keep-connected\/coh-elders-yarning-circle\">COH Elders Yarning Circle<\/a><\/li>\n\t\t<li id=\"menu-item-3003\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3003\"><a href=\"https:\/\/metronorth.health.qld.gov.au\/ourhealthourway\/keep-connected\/ckw-yarning-table\">CKW Yarning Table<\/a><\/li>\n\t\t<li id=\"menu-item-3005\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-3005\"><a href=\"https:\/\/metronorth.health.qld.gov.au\/health-equity\/yarning-hub\" title=\"External link\">Health Equity Yarning Hub<\/a><\/li>\n\t\t<li id=\"menu-item-3006\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-3006\"><a href=\"https:\/\/metronorth.health.qld.gov.au\/health-equity\/stop-racism-yarning-hub\" title=\"External link\">Stop Racism Yarning Hub<\/a><\/li>\n\t<\/ul>\n<\/li>\n\t<li id=\"menu-item-3017\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3017\"><a href=\"https:\/\/metronorth.health.qld.gov.au\/ourhealthourway\/about-us\">About us<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul><\/div><\/div><div class=\"fusion-additional-widget-content\"><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_3_4 3_4 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:75%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.56%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:2.56%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\"><p>Are you interested in supporting Aboriginal and Torres Strait Islander Health Equity and contributing to making changes across Metro North Health?<\/p>\n<p>Become an Aboriginal and\/or Torres Strait Islander Consumer Partner. Tell us a bit about yourself, your interests, your experience within our services and why you want to join us.<\/p>\n<p>We will contact you to discuss available opportunities that align with your interests.<\/p>\n<p>We will keep your information safe and won\u2019t share it without your permission.<\/p>\n<p>If you would like to take the first step in becoming a Consumer with us, fill in the form below:<\/p>\n<h2>Apply to be an Aboriginal and\/or Torres Strait Islander Consumer<\/h2>\n<\/div><div class=\"fusion-text fusion-text-2\"><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_3' style='display:none'><div id='gf_3' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/ourhealthourway\/wp-json\/wp\/v2\/pages\/2334#gf_3' data-formid='3' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_3' class='gform_fields top_label form_sublabel_above description_above validation_below'><fieldset id=\"field_3_1\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>I\u2019m filling in this form because:<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_1'><div class='gchoice gchoice_3_1_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_1.1' type='checkbox'  value='I\u2019d like to know more about becoming a consumer partner.'  id='choice_3_1_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_1_1' id='label_3_1_1' class='gform-field-label gform-field-label--type-inline'>I\u2019d like to know more about becoming a consumer partner.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_1_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_1.2' type='checkbox'  value='I\u2019ve spoken to a staff member and they\u2019ve asked me to fill in the form.'  id='choice_3_1_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_1_2' id='label_3_1_2' class='gform-field-label gform-field-label--type-inline'>I\u2019ve spoken to a staff member and they\u2019ve asked me to fill in the form.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_3\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_3_3'>\n                            \n                            <span id='input_3_3_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_3_3_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_3.3' id='input_3_3_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_3_3_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_3_3_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_3.6' id='input_3_3_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_3_4\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_4'><span class='gform-field-label__text'>Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_4' id='input_3_4' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_3_5\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Address<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_3_5' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_3_5_1_container' >\n                                        <label for='input_3_5_1' id='input_3_5_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_5.1' id='input_3_5_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_3_5_2_container' >\n                                        <label for='input_3_5_2' id='input_3_5_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                        <input type='text' name='input_5.2' id='input_3_5_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_3_5_3_container' >\n                                    <label for='input_3_5_3' id='input_3_5_3_label' class='gform-field-label gform-field-label--type-sub '>Suburb<\/label>\n                                    <input type='text' name='input_5.3' id='input_3_5_3' value=''    aria-required='true'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_3_5_4_container' >\n                                        <label for='input_3_5_4' id='input_3_5_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                        <input type='text' name='input_5.4' id='input_3_5_4' value=''      aria-required='true'    \/>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_3_5_5_container' >\n                                    <label for='input_3_5_5' id='input_3_5_5_label' class='gform-field-label gform-field-label--type-sub '>Post code<\/label>\n                                    <input type='text' name='input_5.5' id='input_3_5_5' value=''    aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_5.6' id='input_3_5_6' value='AU' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_3_6\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Information about you<\/h3><\/div><div id=\"field_3_7\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >The information we ask about you will help us match you with activities we think you will fit. It also allows us to have a range of consumer partners with different backgrounds, ages and experiences.<\/div><fieldset id=\"field_3_8\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>I am a:<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_8'><div class='gchoice gchoice_3_8_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.1' type='checkbox'  value='Patient'  id='choice_3_8_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_8_1' id='label_3_8_1' class='gform-field-label gform-field-label--type-inline'>Patient<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_8_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.2' type='checkbox'  value='Parent'  id='choice_3_8_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_8_2' id='label_3_8_2' class='gform-field-label gform-field-label--type-inline'>Parent<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_8_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.3' type='checkbox'  value='Carer'  id='choice_3_8_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_8_3' id='label_3_8_3' class='gform-field-label gform-field-label--type-inline'>Carer<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_8_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.4' type='checkbox'  value='Community member'  id='choice_3_8_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_8_4' id='label_3_8_4' class='gform-field-label gform-field-label--type-inline'>Community member<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_8_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.5' type='checkbox'  value='Other (please provide details below)'  id='choice_3_8_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_8_5' id='label_3_8_5' class='gform-field-label gform-field-label--type-inline'>Other (please provide details below)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_9\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_9'><span class='gform-field-label__text'>Other<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_3_9' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_3_10\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Gender<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_10'>\n\t\t\t<div class='gchoice gchoice_3_10_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Male'  id='choice_3_10_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_10_0' id='label_3_10_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_10_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Female'  id='choice_3_10_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_10_1' id='label_3_10_1' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_10_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='LGBTQIA+'  id='choice_3_10_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_10_2' id='label_3_10_2' class='gform-field-label gform-field-label--type-inline'>LGBTQIA+<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_10_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Prefer not to say'  id='choice_3_10_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_10_3' id='label_3_10_3' class='gform-field-label gform-field-label--type-inline'>Prefer not to say<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_11\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Age range<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_11'>\n\t\t\t<div class='gchoice gchoice_3_11_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='16 \u2013 24'  id='choice_3_11_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_11_0' id='label_3_11_0' class='gform-field-label gform-field-label--type-inline'>16 \u2013 24<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_11_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='25 \u2013 45'  id='choice_3_11_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_11_1' id='label_3_11_1' class='gform-field-label gform-field-label--type-inline'>25 \u2013 45<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_11_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='46 \u2013 64'  id='choice_3_11_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_11_2' id='label_3_11_2' class='gform-field-label gform-field-label--type-inline'>46 \u2013 64<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_11_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='65 and over'  id='choice_3_11_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_11_3' id='label_3_11_3' class='gform-field-label gform-field-label--type-inline'>65 and over<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_11_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Prefer not to say'  id='choice_3_11_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_11_4' id='label_3_11_4' class='gform-field-label gform-field-label--type-inline'>Prefer not to say<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_12\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Are you of Aboriginal or Torres Strait Islander origin?<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_12'>\n\t\t\t<div class='gchoice gchoice_3_12_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Aboriginal'  id='choice_3_12_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_12_0' id='label_3_12_0' class='gform-field-label gform-field-label--type-inline'>Aboriginal<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_12_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Torres Strait Islander'  id='choice_3_12_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_12_1' id='label_3_12_1' class='gform-field-label gform-field-label--type-inline'>Torres Strait Islander<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_12_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Both'  id='choice_3_12_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_12_2' id='label_3_12_2' class='gform-field-label gform-field-label--type-inline'>Both<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_12_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='No'  id='choice_3_12_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_12_3' id='label_3_12_3' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Do you have a disability?<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_13'>\n\t\t\t<div class='gchoice gchoice_3_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Yes'  id='choice_3_13_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_13_0' id='label_3_13_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='No'  id='choice_3_13_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_13_1' id='label_3_13_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_14'><span class='gform-field-label__text'>If yes, will you need additional assistance? (please provide details below)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_3_14' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_3_15\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_list_2col_vertical gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-columns\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Have you or someone you know, used facilities or services within Metro North Health?<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_15'><div class='gchoice gchoice_3_15_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.1' type='checkbox'  value='Royal Brisbane and Women\u2019s Hospital (RBWH)'  id='choice_3_15_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_15_1' id='label_3_15_1' class='gform-field-label gform-field-label--type-inline'>Royal Brisbane and Women\u2019s Hospital (RBWH)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_15_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.2' type='checkbox'  value='The Prince Charles Hospital (TPCH)'  id='choice_3_15_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_15_2' id='label_3_15_2' class='gform-field-label gform-field-label--type-inline'>The Prince Charles Hospital (TPCH)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_15_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.3' type='checkbox'  value='Kallangur Health Centre (Kalangoor)'  id='choice_3_15_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_15_3' id='label_3_15_3' class='gform-field-label gform-field-label--type-inline'>Kallangur Health Centre (Kalangoor)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_15_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.4' type='checkbox'  value='The Redcliffe Hospital (REDH)'  id='choice_3_15_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_15_4' id='label_3_15_4' class='gform-field-label gform-field-label--type-inline'>The Redcliffe Hospital (REDH)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_15_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.5' type='checkbox'  value='Surgical, Treatment and Rehabilitation Services (STARS)'  id='choice_3_15_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_15_5' id='label_3_15_5' class='gform-field-label gform-field-label--type-inline'>Surgical, Treatment and Rehabilitation Services (STARS)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_15_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.6' type='checkbox'  value='Community and Oral Health (COH)'  id='choice_3_15_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_15_6' id='label_3_15_6' class='gform-field-label gform-field-label--type-inline'>Community and Oral Health (COH)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_15_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.7' type='checkbox'  value='The Caboolture Hospital (CABH)'  id='choice_3_15_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_15_7' id='label_3_15_7' class='gform-field-label gform-field-label--type-inline'>The Caboolture Hospital (CABH)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_15_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.8' type='checkbox'  value='Kilcoy Hospital'  id='choice_3_15_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_15_8' id='label_3_15_8' class='gform-field-label gform-field-label--type-inline'>Kilcoy Hospital<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_15_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.9' type='checkbox'  value='Woodford Corrections'  id='choice_3_15_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_15_9' id='label_3_15_9' class='gform-field-label gform-field-label--type-inline'>Woodford Corrections<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_15_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.11' type='checkbox'  value='Caboolture Health Centre (Kabul)'  id='choice_3_15_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_15_11' id='label_3_15_11' class='gform-field-label gform-field-label--type-inline'>Caboolture Health Centre (Kabul)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_15_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.12' type='checkbox'  value='Bribie Island Health Centre (Yarun)'  id='choice_3_15_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_15_12' id='label_3_15_12' class='gform-field-label gform-field-label--type-inline'>Bribie Island Health Centre (Yarun)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_16\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Do you have volunteer experience?<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_16'>\n\t\t\t<div class='gchoice gchoice_3_16_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='Yes (Please provide details below)'  id='choice_3_16_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_16_0' id='label_3_16_0' class='gform-field-label gform-field-label--type-inline'>Yes (Please provide details below)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_16_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='No'  id='choice_3_16_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_16_1' id='label_3_16_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_17\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_17'><span class='gform-field-label__text'>Volunteer experience details<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_17' id='input_3_17' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_3_18\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_list_2col_vertical gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-columns\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Areas of interest (select all health areas that apply)<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_18'><div class='gchoice gchoice_3_18_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.1' type='checkbox'  value='Aboriginal Health'  id='choice_3_18_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_1' id='label_3_18_1' class='gform-field-label gform-field-label--type-inline'>Aboriginal Health<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.2' type='checkbox'  value='Aged Care'  id='choice_3_18_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_2' id='label_3_18_2' class='gform-field-label gform-field-label--type-inline'>Aged Care<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.3' type='checkbox'  value='Buildings\/Infrastructure'  id='choice_3_18_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_3' id='label_3_18_3' class='gform-field-label gform-field-label--type-inline'>Buildings\/Infrastructure<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.4' type='checkbox'  value='Death and dying'  id='choice_3_18_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_4' id='label_3_18_4' class='gform-field-label gform-field-label--type-inline'>Death and dying<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.5' type='checkbox'  value='Dental (Oral Health)'  id='choice_3_18_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_5' id='label_3_18_5' class='gform-field-label gform-field-label--type-inline'>Dental (Oral Health)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.6' type='checkbox'  value='Diabetes'  id='choice_3_18_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_6' id='label_3_18_6' class='gform-field-label gform-field-label--type-inline'>Diabetes<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.7' type='checkbox'  value='Diet\/Nutrition'  id='choice_3_18_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_7' id='label_3_18_7' class='gform-field-label gform-field-label--type-inline'>Diet\/Nutrition<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.8' type='checkbox'  value='Disabilities'  id='choice_3_18_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_8' id='label_3_18_8' class='gform-field-label gform-field-label--type-inline'>Disabilities<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.9' type='checkbox'  value='Eye Health'  id='choice_3_18_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_9' id='label_3_18_9' class='gform-field-label gform-field-label--type-inline'>Eye Health<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.11' type='checkbox'  value='Heart Health (Cardiac)'  id='choice_3_18_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_11' id='label_3_18_11' class='gform-field-label gform-field-label--type-inline'>Heart Health (Cardiac)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.12' type='checkbox'  value='Information, Communications, Technology'  id='choice_3_18_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_12' id='label_3_18_12' class='gform-field-label gform-field-label--type-inline'>Information, Communications, Technology<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.13' type='checkbox'  value='Kidney Health'  id='choice_3_18_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_13' id='label_3_18_13' class='gform-field-label gform-field-label--type-inline'>Kidney Health<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.14' type='checkbox'  value='LGBTQIA+ Health'  id='choice_3_18_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_14' id='label_3_18_14' class='gform-field-label gform-field-label--type-inline'>LGBTQIA+ Health<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.15' type='checkbox'  value='Maternal and Child Health'  id='choice_3_18_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_15' id='label_3_18_15' class='gform-field-label gform-field-label--type-inline'>Maternal and Child Health<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.16' type='checkbox'  value='Mental Health'  id='choice_3_18_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_16' id='label_3_18_16' class='gform-field-label gform-field-label--type-inline'>Mental Health<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.17' type='checkbox'  value='Men&#039;s Health'  id='choice_3_18_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_17' id='label_3_18_17' class='gform-field-label gform-field-label--type-inline'>Men's Health<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.18' type='checkbox'  value='Palliative Care'  id='choice_3_18_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_18' id='label_3_18_18' class='gform-field-label gform-field-label--type-inline'>Palliative Care<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.19' type='checkbox'  value='Patient Travel'  id='choice_3_18_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_19' id='label_3_18_19' class='gform-field-label gform-field-label--type-inline'>Patient Travel<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_21'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.21' type='checkbox'  value='Podiatry'  id='choice_3_18_21'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_21' id='label_3_18_21' class='gform-field-label gform-field-label--type-inline'>Podiatry<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_22'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.22' type='checkbox'  value='Quality and Safety'  id='choice_3_18_22'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_22' id='label_3_18_22' class='gform-field-label gform-field-label--type-inline'>Quality and Safety<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_23'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.23' type='checkbox'  value='Research'  id='choice_3_18_23'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_23' id='label_3_18_23' class='gform-field-label gform-field-label--type-inline'>Research<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_24'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.24' type='checkbox'  value='Service Planning and Design'  id='choice_3_18_24'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_24' id='label_3_18_24' class='gform-field-label gform-field-label--type-inline'>Service Planning and Design<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_25'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.25' type='checkbox'  value='Sexual Health'  id='choice_3_18_25'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_25' id='label_3_18_25' class='gform-field-label gform-field-label--type-inline'>Sexual Health<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_26'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.26' type='checkbox'  value='Substance Abuse (Alcohol\/Tobacco\/Other Drugs)'  id='choice_3_18_26'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_26' id='label_3_18_26' class='gform-field-label gform-field-label--type-inline'>Substance Abuse (Alcohol\/Tobacco\/Other Drugs)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_27'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.27' type='checkbox'  value='Telehealth'  id='choice_3_18_27'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_27' id='label_3_18_27' class='gform-field-label gform-field-label--type-inline'>Telehealth<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_28'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.28' type='checkbox'  value='Torres Strait Islander Health'  id='choice_3_18_28'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_28' id='label_3_18_28' class='gform-field-label gform-field-label--type-inline'>Torres Strait Islander Health<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_29'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.29' type='checkbox'  value='Women&#039;s Health'  id='choice_3_18_29'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_29' id='label_3_18_29' class='gform-field-label gform-field-label--type-inline'>Women's Health<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_31'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.31' type='checkbox'  value='Other (please provide details below)'  id='choice_3_18_31'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_31' id='label_3_18_31' class='gform-field-label gform-field-label--type-inline'>Other (please provide details below)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_19\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_19'><span class='gform-field-label__text'>Other<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_3_19' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_3_20\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_list_2col_vertical gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-columns\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>How would you like to contribute?<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_20'><div class='gchoice gchoice_3_20_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.1' type='checkbox'  value='Interview panel \u2013 community representative'  id='choice_3_20_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_1' id='label_3_20_1' class='gform-field-label gform-field-label--type-inline'>Interview panel \u2013 community representative<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_20_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.2' type='checkbox'  value='Yarning circle'  id='choice_3_20_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_2' id='label_3_20_2' class='gform-field-label gform-field-label--type-inline'>Yarning circle<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_20_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.3' type='checkbox'  value='Committee member'  id='choice_3_20_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_3' id='label_3_20_3' class='gform-field-label gform-field-label--type-inline'>Committee member<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_20_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.4' type='checkbox'  value='Research'  id='choice_3_20_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_4' id='label_3_20_4' class='gform-field-label gform-field-label--type-inline'>Research<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_20_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.5' type='checkbox'  value='Surveys participant'  id='choice_3_20_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_5' id='label_3_20_5' class='gform-field-label gform-field-label--type-inline'>Surveys participant<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_20_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.6' type='checkbox'  value='Cultural advisor'  id='choice_3_20_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_6' id='label_3_20_6' class='gform-field-label gform-field-label--type-inline'>Cultural advisor<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_20_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.7' type='checkbox'  value='Health equity consumer'  id='choice_3_20_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_7' id='label_3_20_7' class='gform-field-label gform-field-label--type-inline'>Health equity consumer<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_20_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.8' type='checkbox'  value='Event support\/promotion'  id='choice_3_20_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_8' id='label_3_20_8' class='gform-field-label gform-field-label--type-inline'>Event support\/promotion<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_20_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.9' type='checkbox'  value='Trainer\/mentor'  id='choice_3_20_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_9' id='label_3_20_9' class='gform-field-label gform-field-label--type-inline'>Trainer\/mentor<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_20_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.11' type='checkbox'  value='Participate in a working group'  id='choice_3_20_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_11' id='label_3_20_11' class='gform-field-label gform-field-label--type-inline'>Participate in a working group<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_20_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.12' type='checkbox'  value='Entertainment\/artist'  id='choice_3_20_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_12' id='label_3_20_12' class='gform-field-label gform-field-label--type-inline'>Entertainment\/artist<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_20_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.13' type='checkbox'  value='Elder participant'  id='choice_3_20_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_13' id='label_3_20_13' class='gform-field-label gform-field-label--type-inline'>Elder participant<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_20_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.14' type='checkbox'  value='Write and review reports, resources, brochures or processes'  id='choice_3_20_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_14' id='label_3_20_14' class='gform-field-label gform-field-label--type-inline'>Write and review reports, resources, brochures or processes<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_20_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.15' type='checkbox'  value='Youth participant\/representative'  id='choice_3_20_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_15' id='label_3_20_15' class='gform-field-label gform-field-label--type-inline'>Youth participant\/representative<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_20_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.16' type='checkbox'  value='Traditional owner (Turrbal\/Yagara\/Kabi Kabi)'  id='choice_3_20_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_16' id='label_3_20_16' class='gform-field-label gform-field-label--type-inline'>Traditional owner (Turrbal\/Yagara\/Kabi Kabi)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_20_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.17' type='checkbox'  value='Other (please provide details below)'  id='choice_3_20_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_17' id='label_3_20_17' class='gform-field-label gform-field-label--type-inline'>Other (please provide details below)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_21\" class=\"gfield gfield--type-text gfield--input-type-text 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