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Home People’s Choice Aw...

People’s Choice Award

Nomination Form

Submit your nomination

Please complete the form below to nominate a Therapy Focus therapist or therapy team for our 2023 People’s Choice Award.

If you have any questions or need help please call us on 1300 130 372.

Nominations close midnight 30 April.

Your name*
First name Surname
Phone*
Email*
What best describes you:*
- Therapy Focus service user/customer
- Parent/Guardian/Family member
- Support worker or Advocate
- Teacher or Education Assistant
- Colleague (from another organisation)
- Medical Practitioner
Is this nomination for an individual therapist or a therapy team?*
- Individual Therapist
- Therapy Team
Therapist full name*

List the full names of the therapists*

Click the plus button to add more names

What challenges did the service user face before they started working with the therapist/therapy team?*
What did this therapist/therapy team do to help the service user overcome these challenges?*
How has this therapist/therapy team made things different?*
Please select the Guiding Principle/s the therapist/therapy team has demonstrated in their work:
- Stronger Together
- Make Today Count
- Keep It Simple
- Be Courageous
- Make It Personal
- Be Exceptional
Learn more about our Guiding Principles. (link opens in new tab).
Is there anything else you would like to add?
Consent to share with therapist/s*
I understand that this nomination will be shared with the therapist/therapy team*
Consent to publish name*
I understand that my name and details of this nomination may be published for promotional purposes*

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Therapy Focus acknowledges the Traditional Owners of Country throughout Australia and pay our respects to Elders past and present.

1300 135 373

5/1140 Albany Highway, Bentley WA 6102

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