Client registration form

Welcome to Endeavour Wellness Clinic. The purpose of this clinic is to provide a work-integrated learning environment for our students, in which they can interact with clients and gain experience in assessing and treating a range of conditions.

Any information you provide will be treated with complete confidentiality as per the Privacy Act 1988 (Cth) (https://www.oaic.gov.au/privacy/the-privacy-act/). The College collects personal information in order to assist in the provision of its services. Personal information will not be collected unless it is relevant for a purpose directly related to a function or activity or the College and will only collect information by lawful means as per our published Endeavour Privacy Policy, available at: https://www.endeavour.edu.au/current-students/policies-and-procedures/.

Please note that this form can only be completed in the Google Chrome browser.