Thank you for taking action to help Close The Gap. This one action might seem small, but it could save someone’s life.

Completing this quick form will mean your healthcare provider receives an email. We’ve done the work so you don’t have to! Simply complete the steps below to send your email.

  1. Enter your name and email address so your healthcare provider knows who this email is from. The email template will automatically fill in your name once entered.
  2. Enter in the details of the healthcare professional or setting (eg. hospital, surgery or maternity unit) you want this to be sent to.
  3. Click submit and your email will be sent.