Prenatal New Baby Inquiry

Thank you for reaching out for information, we are hear to assist you in any way we can.

Congratulations on the news of your pregnancy this is a very exciting time for you and your family.

We work to support families and ensure all parents have up to date, fair and equitable information and support during both the prenatal and early years.

First Name *

Last Name *

Phone number: *

Address: *

Email Address *

Are you a parent or relative? *

Kindly let us know the due date or date of birth of your baby

Please tell us a bit more about your circumstances *

Expecting a baby with Down syndromeHave an unconfirmed diagnosis of Down syndromeHave a new baby with Down syndromeOther

If you selected other, could you, please tell us a bit more:

How can Down Syndrome NSW provide immediate support? *

Please call mePlease email mePlease visit mePlease post me an information and support gift pack

GP details (name and practice address)

We will not be contacting your GP. We collect these details to ensure all GP's have up to date, expert information about Down syndrome.

Your hospital (if known)

Would you like to tell us a bit more about the type of support you are looking for if you wish

Do you wish to be a member of Down Syndrome NSW? Membership is free.

Yes, I am a Parent/Family member.Yes, I have received a Prenatal diagnosis.Yes, I have Down syndrome.

I have read the above information and consent to the person mentioned in this form being photographed, filmed and/or have audio recordings used by Down Syndrome NSW for various purposes. This may include but is not limited to: newsletters, media releases, social programs and website.

YesNo

By submitting the Membership Request I am consenting to receiving marketing communications from Down Syndrome NSW from time to time. I understand that my contact details will not be shared with outside organisations.

YesNo

How did you hear about Down Syndrome NSW? *