An online self help program for Bipolar Disorder

Registration form

Before you register your interest to take part in this project, please read the information statement about the purpose of the study 

To register your interest in the study please complete your details below, then press the submit button to send your information.  A researcher will then contact you.

To move to each item use the tab key.

* refers to questions which must be completed

After you submit this form, you will be contacted by one of the researchers to discuss the study in more detail.  If you do not wish us to contact you on a particular number or email address, please do not include it below.

If you are a service provider, researcher or student interested in this study please email the study co-ordinator direct sue@moodswings.net.au

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Email Address: *
Contact phone number: *
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