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Register your interest here!

Contact Information



Please select one of the lines below that best describes you.

Interest in Mesh Injured Australia

Detail of your mesh implant

Only fill in this section if it is applicable to you, and only if you are happy to provide the detail. The detail will only be used to identify trends and statistics. Your information will remain private within our system.
If applicable

Name of hospital only (city/town and state are separate answers)

Please state the city or town of the hospital where you were implanted

Full name or surname is fine
Please indicate the qualification of the implanting surgeon (if known)

ie. was it a Gynaecare TVT Retropubic system (please provide what you can)
Please pick the type that best describes the type of repair that caused your mesh implant

Mesh injury validation will assist with any application for access to private forums within our website.