COVID-19 Support Directory Registration Form

Please complete the following form to include your organisation’s details on our COVID-19 Support Directory. Let the community know about the services you are providing during this time and how and when they can be accessed. 

Please note that all of the infromation provided on this form will be stored by CVS and will be made public on our website.  You will have the option to choose whether to display the contact telephone number &/or address. We may contact the main person on this form in the process of listing this on the directory or ensruing accuracy in the future. By completing this form you are agreeing for CVS to use your data in this way. 



Organisation Details
Let us know of what services you are providing during the COVID-19 outbreak period, including how they can be acessed, when they can be accessed and by who.
Contact details
Please provide either a phone number, email address or website as means of accessing your service.
Required for CVS verification use.
copy and paste your url here
copy and paste your url here
Service Details
Maximum of 3 options
Maximum of 3 options