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CHEX database form

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CHEX database

Please complete the form if you’d like us to consider your organisation for addition to the CHEX database.

Organisation name *

Location *

Local authority *

Please choose the local authority area in which you are primarily based

Health board *

Please choose the health board area in which you are primarily based

Which of the themes describe your work *

BME

Carers

Disability

Employability

Environment

Faith-based

Family

Food and physical activity

LGBTQ+

Longterm condition

Men

Mental wellbeing

Older people

Physical activity

Rural / Urban

Substance misuse

Women

Young people

Any other themes?

Please give us some information about your organisation *

What is your website address?

Facebook address

Twitter address

Main contact person email address *

Thank you!

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