Test Page Dr Yes School Booking Form Step 1 of 2 50% School InformationSchool Name*Email* Session 1 Please select the session type and content you would like Dr YES to deliver. For more detail on the content of Dr YES, please see the Teacher's Resources. All sessions will cover confidentiality within the group, Youth Friendly Doctor, Medicare and doctor-patient confidentiality. Alcohol and Other Drugs Select All General knowledge Alcohol Other Drugs Sexual Health Select All Sexual consent Contraception Pornography Sexting Mental Health Select All Preventative vs Reactive Help Framework for supporting a friend experiencing mental illness Stigma Mental illness If the group is interested in a particular discussion topic, the facilitator will address those issues more directly. Booking date option 1*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Dr YES sessions run from 24th February to 31st May and then again from 24th July to 30th October.Time* : HH MM AM PM Booking date option 2*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Time* : HH MM AM PM Booking date option 3*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Time* : HH MM AM PM Year group*Sessions available for years 7-12. Number of students*Maximum of 120 students. Please try to combine classes together to create a larger group. Session 2 Alcohol and Other Drugs Select All General knowledge Alcohol Other Drugs Sexual Health Select All Sexual consent Contraception Pornography Sexting Mental Health Select All Preventative vs Reactive Help Framework for supporting a friend experiencing mental illness Stigma Mental illness If the group is interested in a particular discussion topic, the facilitator will address those issues more directly. Booking date option 1Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Dr YES sessions run from 24th February to 31st May and then again from 24th July to 30th October.Time : HH MM AM PM Booking date option 2Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Time : HH MM AM PM Booking date option 3Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Time : HH MM AM PM Year groupSessions available for years 7-12. Number of studentsMaximum of 120 students. Please try to combine classes together to create a larger group. Session 3 Section BreakAlcohol and Other Drugs Select All General knowledge Alcohol Other Drugs Sexual Health Select All Sexual consent Contraception Pornography Sexting Mental Health Select All Preventative vs Reactive Help Framework for supporting a friend experiencing mental illness Stigma Mental illness If the group is interested in a particular discussion topic, the facilitator will address those issues more directly. Booking date option 1Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Dr YES sessions run from 24th February to 31st May and then again from 24th July to 30th October.Time : HH MM AM PM Booking date option 2Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Time : HH MM AM PM Booking date option 3Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Time : HH MM AM PM Year groupSessions available for years 7-12. Number of studentsMaximum of 120 students. Please try to combine classes together to create a larger group.
