Registry | Australia Alopecia Areata Foundation

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Please fill in the form below to join the AAAF Registry.
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Your Name

Your Email

Phone

Address

Suburb Postcode

State

Gender

Date of birth

Do you have a form of Alopecia
YESNO

If so, which type

Does any member of your family have Alopecia

Can your image be used in marketing
YESNO

Do you want to be contacted regarding research trials for your category
YESNO

Do you want to be notified of upcoming events
YESNO

Would you like to be contacted regarding volunteer assistance needed at events
YESNO

Please provide a brief description in what area you would like to help

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Terms

Personal and health information collected by AAAF is protected under the Privacy Act 1988 (Commonwealth) as amended by the Privacy Amendment (Private Sector) Act 2001 (Commonwealth) including the National Privacy Principles and the Health Records Act 2001(Victoria). AAAF being national in collection, is required also to comply with any other relevant state or territory privacy legislation (the Law).In this policy, a reference to ‘information’ in general is a reference to both personal and health information.

AAAF is committed to protecting your privacy. We respect the privacy of your information, and manage it according to the Law. The Law regulates how your information is handled throughout its life cycle, from collection to use and disclosure, storage, accessibility and disposal.

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ABN: 14 104 820 346 Charity Registration No: A0057033E

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