The Well Men Centre will provide a Free Information Pack, which includes a full symptom 

checklist, answers to frequently asked questions and additional useful information. 

        Under the Privacy Act information provided cannot be passed to third parties without your permission. The 

               Well Men Centre will not disclose personal information to any other party, unless required or authorised by 

law, consent is given, or is required to complete a business transaction. 

The Free Information Pack can be sent by post or by e-mail.  

Please send me a Free Information Pack 

by post               by e-mail         

First Name
Middle Name
Last Name
Date of Birth
Gender	Male      Female
Street Address
City
State
Postcode
Work Phone
Home Phone
Mobile
FAX
E-mail

          For many years Time For Men and The Well Men Centre have been campaigning for 

            equality for Men under the Pharmaceutical Benefits Scheme (see page                ).

Do you believe that Hormone Replacement Therapy should be readily available for Men on the Pharmaceutical Benefits Scheme as it is for Women?

Yes           No 

Back to Site Map