Service Directory – Outdoor Healthcare, Naturally

Organisation name

(Organisation, Business or Sole Trader/ Individual name)

What traditional land/ country is your service based on (if known)?

Street Address

Supplemental Address

City

Country

State, Province or Region

Contact person

Role or title of contact person

Phone

Contact email

Website

Program, service or model name (if different to Organisation name)

(Note: if more than one service is provided by the same Organisation, Business or Sole Trader/ Individual, feel free to complete this form once for each service)

Purpose/ mission

Geographic scope of service provision

Which age groups does your service support?

0 - 5 Years Old

6 - 11 Years Old

12 - 15 Years Old

16 - 25 Years Old

26 - 40 Years Old

41 - 59 Years Old

60 - 75 Years Old

75 + Years Old

Please feel free to provide information about the age groups you support

Which gender/s does your service support?

Females

Males

Gender fluid/ transgender/ non-binary

Transgender

Other

(You may tick more than one)

Other genders supported

Please feel free to provide information about the gender/s you support

Which culture/s does your service support?

Indigenous

Aboriginal

Torres Strait Islander

First nations

LGBTIQ+

New migrant

Refugees

General population

Specific cultural group (please describe)

(You may tick more than one)

Specific cultural group

Please feel free to provide information about the culture/s you support

Please provide some information about your target group, how you work, and your intended outcomes for your target group

Terms and conditions

I understand the information I am providing for this directory will be shared publicly on the Outdoor Healthcare website as a free service to the sector, and to those seeking outdoor healthcare services.

In completing this form I declare that I/we have the appropriate qualifications, training, insurances and affiliations to provide our stated services.

To the best of my/our knowledge, we are providing a safe, ethical and effective service for our intended purpose at this point in time.

I/we commit to updating this information on a yearly basis.

Note: In the absence of a national peak body or accreditation system, Outdoor Healthcare does not endorse service providers named in the directory. The information is merely provided as a service to the sector, a way to connect, and a starting point for those wishing to find nature-based health services in their local area.

About the service directory

Outdoor Healthcare service directory form

Terms and conditions