Clinical Network Membership

Please complete the following form to join the Cancer Council Victoria’s Clinical Network.

As a Clinical Network member you will receive regular email updates, opportunities to inform Clinical Network projects, government submissions, guideline reviews, position statements and invitations to relevant events.

Personal Details

(e.g. Director, Cancer Unit)


(e.g. medical oncologist)

Address: Organisation

Address: Secondary organisation

(if you work across multiple institutions)

(e.g. Director, Cancer Unit)

Area of practice

Areas of interest

Personal Assistant/Secretary Details

Other Information

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Cancer Council Victoria collects your personal information from you to communicate information regarding the Clinical Network and Cancer Council Victoria. You may ask us at any time to stop sending you communications by emailing clinicalnetwork@cancervic.org.au.

Our Privacy Policy or on request by calling 13 11 20, explains how we otherwise handle your personal information, including how to request access to and correction of your personal information, how to make a privacy complaint and how we will deal with such a complaint.