Jira Service Management

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We have included some examples and hints to assist you in completing this form. By completing the registration form below, you agree to the <a href=\"https://about.healthdirect.gov.au/nhsd-registration-terms-service\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\">NHSD Registration Terms of Service</a>. Information in the submitted registration form will be validated prior to inclusion in the NHSD. To update your service details please email the NHSD help desk <a href=\"mailto://nhsd@healthdirect.org.au\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\">nhsd@healthdirect.org.au</a>. *indicates required field.","callToAction":"New Registration - Carer Gateway","introHtml":"(No longer used, kept for historical requests)","icon":10517,"iconUrl":"https://healthdirect-serviceline.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10517","groups":[],"key":""},{"id":"43","name":"Outdated","descriptionHtml":"","callToAction":"Outdated","introHtml":"Outdated campaign are created by campaign coordinator based the earliest year of the PLS last updated date.","icon":10466,"iconUrl":"https://healthdirect-serviceline.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10466","groups":[],"key":""},{"id":"17","name":"Practitioner","descriptionHtml":"","callToAction":"Practitioner","introHtml":"Requests for updates to practitioner data","icon":10516,"iconUrl":"https://healthdirect-serviceline.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10516","groups":[],"key":""},{"id":"29","name":"Privacy breach","descriptionHtml":"","callToAction":"Privacy breach","introHtml":"Where an email, request or service listing contains personal and private information.","icon":10458,"iconUrl":"https://healthdirect-serviceline.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10458","groups":[],"key":""},{"id":"16","name":"Restructure","descriptionHtml":"","callToAction":"Restructure","introHtml":"Records that require consolidation","icon":10533,"iconUrl":"https://healthdirect-serviceline.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10533","groups":[],"key":""},{"id":"32","name":"Self authorship query","descriptionHtml":"","callToAction":"Self authorship query","introHtml":"All requests from existing self authors, including password resets.","icon":10458,"iconUrl":"https://healthdirect-serviceline.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10458","groups":[],"key":""},{"id":"25","name":"Training","descriptionHtml":"","callToAction":"Training","introHtml":"Requests for UI training from service providers or partners who author their own content on the NHSD","icon":10512,"iconUrl":"https://healthdirect-serviceline.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10512","groups":[],"key":""},{"id":"24","name":"Widget request","descriptionHtml":"","callToAction":"Widget request","introHtml":"Requests for a new widget","icon":10534,"iconUrl":"https://healthdirect-serviceline.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10534","groups":[],"key":""}],"reqGroups":[{"id":6,"name":"New Registrations"},{"id":9,"name":"Engagement"}],"orderMapping":{"6":[13],"9":[42]},"kbs":{"kbEnabled":false,"serviceDeskId":-1},"createPermission":true,"portalAnnouncement":{"portalId":3,"canEditAnnouncement":false,"canAdministerProject":false,"portalProjectKey":"SD","userLanguageHeader":"","userLanguageMessageWiki":"","defaultLanguageHeader":"","defaultLanguageMessage":"","defaultLanguageDisplayName":"English (United States)","isUsingLanguageSupport":false,"translations":{}},"canViewCreateRequestForm":true,"isProjectSimplified":false},"reqCreate":{"id":13,"projectId":10002,"form":{"name":"New Registration","descriptionHtml":"Thank you for your interest in registering your services on the National Health Services Directory (NHSD), part of Healthdirect Australia. \n\nPlease complete the registration form below, providing accurate details of your organisation. 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"}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":57},"localId":"ed47df96-f869-4db9-a49b-573b439998fe"}},{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":58},"localId":"4789aeba-a0cc-4ed8-94cc-ae8b9c8fabbb"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":59},"localId":"2e7ebaba-3a44-4a13-b99e-3da929996f23"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":3},"localId":"774784c1-e702-4a77-9f1e-83dd9dd6d957"}},{"type":"heading","attrs":{"level":3},"content":[{"type":"text","text":"Service Location Details"}]},{"type":"heading","attrs":{"level":4},"content":[{"type":"text","text":"The location details for your service. This is required for all registration, as the information is for time zones. For physical location services (face to face) "},{"type":"text","text":"this will be used as the public address listed on the directory","marks":[{"type":"strong"}]},{"type":"text","text":". "}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":4},"localId":"0f187cb8-299b-44df-933b-21612536160b"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":5},"localId":"7647b2fe-3952-4276-b326-1167e2915e81"}},{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":10},"localId":"13bd68cc-fa1f-4b4f-b3aa-2c23ae75faba"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":11},"localId":"5af7ad38-9a4d-422d-9942-b6ba73ac74f6"}}]}]},{"type":"heading","attrs":{"level":3},"content":[{"type":"text","text":"Service Contact Details"}]},{"type":"heading","attrs":{"level":4},"content":[{"type":"text","text":"The contact details for the service, "},{"type":"text","text":"these will be used as the public contact details listed on the directory","marks":[{"type":"strong"}]},{"type":"text","text":". At least one contact detail is required for your service to be listed on the directory."}]},{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":13},"localId":"880351ab-5c30-4f3f-ae44-67bf4a403cbc"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":14},"localId":"ca9ce644-ecfb-4925-ad0e-65d688416209"}}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":16},"localId":"c51c49f9-d075-47dd-9194-6b8e42e866be"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":17},"localId":"03cebe08-123c-4851-92e2-bb75b2b74f12"}},{"type":"paragraph","content":[{"type":"text","text":"Select the "},{"type":"text","text":"primary","marks":[{"type":"em"},{"type":"strong"}]},{"type":"text","text":" ","marks":[{"type":"strong"}]},{"type":"text","text":"delivery method for how the service is provided: "}]},{"type":"paragraph","content":[{"type":"text","text":"Physical location:","marks":[{"type":"em"},{"type":"strong"}]},{"type":"text","text":" "},{"type":"text","text":"The service is offered at a fixed location face-to-face as per the address provided above.","marks":[{"type":"em"}]},{"type":"text","text":" "}]},{"type":"paragraph","content":[{"type":"text","text":"Home visit:","marks":[{"type":"em"},{"type":"strong"}]},{"type":"text","text":" "},{"type":"text","text":"The service is offered to the patient face-to-face at their home and not at a fixed location.","marks":[{"type":"em"}]}]},{"type":"paragraph","content":[{"type":"text","text":"Virtual:","marks":[{"type":"em"},{"type":"strong"}]},{"type":"text","text":" "},{"type":"text","text":"The service is via Telephone or Online and is not available face-to-face.","marks":[{"type":"em"}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":18},"localId":"da404950-e7ed-42d0-b9d2-77508b67d4da"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":20},"localId":"f91a40ca-af25-4282-9dd3-771855ef4899"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":21},"localId":"4ba47c65-64aa-4482-8247-15ea3f70b80b"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":23},"localId":"956cbb08-a466-41fb-a3f8-6dac4f98457d"}}]},{"version":1,"type":"doc","content":[{"type":"paragraph","content":[{"type":"text","text":"Indicate your coverage area as either:"}]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"Australia Wide"}]}]},{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"State Wide "}]}]},{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"Suburb names with corresponding postcodes separated by commas: "}]}]}]},{"type":"paragraph","content":[{"type":"text","text":"e.g. Sydney 2000, Barangaroo 2000, Surry Hills 2010 "}]},{"type":"paragraph","content":[{"type":"text","text":"If you have a large coverage area, please let us know. 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