Book an appointment Speak with one of our health professionals. Diabetes Australia – Tasmania offers individual consultations via telehealth, video or face to face appointments. The team includes diabetes educators, accredited practising dietitians and a nurse practitioner. Appointments are FREE as they are funded by Primary Health Tasmania. If you would like help, or just have a few questions, fill in the self-referral form below and we will be in touch to arrange the right support for you. Self Referral – Tasmania "*" indicates required fields Your DetailsName* Date of Birth* GenderGenderMaleFemaleNon-binaryPrefer not to sayAddress* Phone* Email* Your Diagnosis (if known)Please select: At risk Pre-diabetes Type 2 diabetes What would you like help with Managing my diabetes Food choices and healthy shopping Information about Diabetes Tasmania programs Speak to a health professional Medication and insulin Other How did you hear about Diabetes Tasmania, our services and programs?How did you hear about Diabetes Tasmania, our services and programs? Diabetes Tasmania website Eventbrite website Enewsletter Speak to a health professional Social media Letter Poster / flyer Diabetes Tasmania staff member GP Practice nurse Pharmacist / Pharmacy assistant Circle magazine Family or friends Other ConsentDo you consent to a Diabetes Tasmania health professional contacting your regular GP to obtain health record information (including recent HbA1c results). After you choose an option below we will ask for your GP details. Name of regular GP Clinic name Clinic phone number Consent*Choose oneYesNoAcknowledgementConsent Checkbox* I have read, understood, and consent to the above collection, use and disclosure of my personal information.