Please use a separate form for each person with diabetes.
There is no charge to register with the NDSS, and the process only needs to be done once. The benefits of the NDSS are outlined on the form.
Section 1 Details of person with diabetes
Registration with the NDSS requires a certain amount of personal information. The information you provide is protected by Commonwealth laws, including the Privacy Act 1988. Diabetes Australia respects all aspects of your privacy and your personal information will not be accessed, other than as listed in this section, without your express permission.
The personal information you provide by completing this Registration Form helps ensure high quality NDSS products and services are delivered to the correct individuals.
The planning and development of high quality services to assist people with diabetes depends on understanding more about the effect diabetes has on these people, their families and their communities. In accordance with the strict requirements of the Commonwealth privacy legislation, NDSS information may be provided to legally authorised agencies for statistical and/or analytical activities to help us gain this understanding. At the present time, these activities are undertaken by the Australian Institute of Health and Welfare. You can be assured that your personal details will remain confidential at all times. You may access the personal information we collect about you, at any stage, by contacting the Diabetes SA Privacy Officer or by writing to:
The Privacy Officer, Diabetes Australia Ltd
GPO Box 3156 Canberra ACT 2601
Section 2 Details of person in charge/carer
If you are responsible for a child (or children) or for the care of an adult with diabetes, you may be the ‘cardholder’. In these cases you must complete Section 2 of the form.
Section 3 Certification by a Health Professional
Please make sure a Medical Practitioner or Credentialled Diabetes Educator completes this section in full and signs it so that your application for registration can be processed without delay (this is essential for NDSS registration).
Section 4 Research Opportunities
If you would like to participate in any research activities, related to diabetes, its management and the prospect of finding a cure, please complete this section.
Section 5 Diabetes Australia
Diabetes Australia has member organisations in each state or territory. Diabetes SA is a community and donor based organisation dedicated to assisting people with diabetes. Membership subscriptions (link to membership form) help the organisation continue its vital work.
Ticking the appropriate box in Section 5 will allow Diabetes SA to make available information about becoming a member. Membership entitles you to:
- Purchase blood glucose meters, books, blood letting devices, special injection systems an other products as member prices.
- Quarterly copies of Issues, our national magazine, plus the local Association’s magazine. These publications provide the lateset information on diabetes education, research, diet and lifestyle, along with advice about children’s camps, support groups, branch meetings and information about everyday people meeting the challenge of living with diabetes.
The National Diabetes Services Scheme (NDSS) is an initiative of the Australian Government administered by Diabetes Australia.
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