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Baby Announcement Consent Form

This form is to be used by parent's who have recently had a baby at the Leongatha Hospital and
is subject to approval before publishing.

A confirmation email will be sent to this email.

I consent to the photo uploaded on this form to be distributed as follows:  (please tick one or more)

GSHS Website

GSHS Facebook Pages

The Sentinel Times Newspaper

The display board located in the Maternity Ward at the Leongatha Hospital

Upload Photo

I confirm the information contained in this form is true and correct and that I am the parent of the aforementioned baby born at Leongatha Hospital.

After clicking on the submit button, please wait for either a confirmation screen or an error message

Bayside Health
Regional Care Group

Private Bag 13, Leongatha  Vic  3953

Tel: 03 5667 5555

Leongatha Campus

66 Koonwarra Road, Leongatha

Tel: 03 5667 5555

Korumburra Campus

65 Bridge Street, Korumburra

Tel: 03 5654 2777

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Gippsland Southern Health acknowledges the Bunurong peoples as the traditional custodians of the land on which our health services are located. Our commitment to improving the health and wellbeing of Aboriginal and Torres Strait Island peoples is supported by our recognition and respect for their connection to their ancestral lands.

We value our community’s diversity. We are committed to providing an inclusive, welcoming and safe service and workplace for everyone who engages with our organisation regardless of race, culture, religion, sexuality, gender identity, age or ability.

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© 2023 Gippsland Southern Health Service

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