DFSV Assist Program

Expression of Interest Application: DFV Assist Program

This Expression of Interest (EOI) is for general practices to participate in the DFSV Assist Program across the Central and Eastern Sydney PHN (CESPHN) region.

 

DFSV Assist aims to enhance, support, and build capacity of primary care providers to effectively care for patients affected by domestic, family and sexual violence (DFSV).  

This Program offers financial support to general practices undertaking activities including training, a quality improvement activity and surveys.


Please ensure you have read the following documentation before applying:

- EOI guidelines (link)
- Memorandum of Agreement (link)

Applications are now open and will close on 14 August 2026.
If you have any questions please email dfsvassist@cesphn.com.au

1. General Practice details







2. Address

Street address




Postal address
Leave blank if your postal address is the same as your residential address




3. Applicant contact details

The principal contact person is the person who is legally authorised to enter into contracts on behalf of your organisation. The principal contact person must complete the declaration at the end of this

application and will be required to sign a Memorandum of Agreement for the Provision of Funding if your

application is successful.









4. Project contact person

The project contact person is the person who will be involved in leading the project and maintain contact with CESPHN staff. 








5. Interest in participating


B. Has your practice participated in any of the following CESPHN training sessions?

  • Responding to Domestic and Family Violence in Primary Care
  • Responding to Sexual Violence in Primary Care
  • Responding to Child Sexual Abuse in Primary Care


C. How many staff do you expect to attend the training sessions by profession? 








By submitting this from, I hereby agree:

I have read the Central and Eastern Sydney PHN (CESPHN) DFSV Assist Program EOI Guidelines and my practice is eligible to apply.

I declare that all information provided in this application is true and correct.

I acknowledge, understand, and accept that this application does not create a legal or binding commitment, arrangement or understanding between CESPHN and the applicant organisation. Any such commitment, arrangement or understanding will be the subject of further negotiation and documentation, including an agreement for the provision of funding. Additional specific conditions may be included in future agreements.

I acknowledge, understand, and accept that incomplete applications may not be considered.

I acknowledge, understand, and accept that information provided in this application will be stored by CESPHN in various formats including hard copy and/or electronic storage.



DFSV Assist is a CESPHN initiative implemented in partnership with the Sydney Local Health District. Personal information is collected for the purpose of administering this service. By submitting this form, you are consenting for this information to be shared with the DFSV Assist Navigators at the Sydney Local Health District who may contact you. CESPHN will manage your data in line with our Privacy Policy, which complies with the Privacy Act 1988 (Cth) and the Health Records and Information Privacy Act 2002 (NSW).

Contact Information