Name *
Qualifications *

LifeCare is part of the Zenitas Healthcare Limited (Zenitas) group of healthcare providers and services. LifeCare and Zenitas comply with the Privacy Act (1988) and as part of their privacy policies they are committed to protecting the privacy of individuals and their personal information. Our Privacy Policy is available to review on the Zenitas website (

From time to time we may send you information or promotions about services offered by healthcare providers in the Zenitas group.  By signing below you also agree that your personal information (your contact details) may be disclosed to and used for this purpose.  You may opt out of receiving communications made to you for this purpose at any time.