Contact us | Eucoms

You can contact us with questions or suggestions via info@eucoms.net

Secretariat EUCOMS Network

General information about you and your organisation

Name*

Last Name*

Name organisation*

Website of organisation *

Type of organisation*

Public or private*

Position*

Please give a brief description of your organisation*

Phone number

Mobile phone number

Email*

Country*

Information to fill in if your organisation provides mental health care services

What kind of services does your organisation include? Acute inpatient ward (s)Psychiatric hospital (s)Community residential facility(ies)Community mental health care team(s)Other (please specify when describing the organisation)

Please give a brief description of the services your organisation provides.

What is the catchment area of your organisation (area and population)?

Please define the division between urban and rural areas your organisation serves in percentages.

Joining the EUCOMS Network

What would you like to contribute to the EUCOMS Network? *

Why does your organisation want to become partner of the EUCOMS Network? State in brief the organisation’s motivation to engage with EUCOMS. *

Are your authorised to sign for membership on behalf of the organisation? *

To complete registration you need to attach the signed values and ambitions of the EUCOMS Network. Please upload the signed document here. *

To complete registration you need to attach the logo of your organisation in high resolution. Please upload your logo here. *