• Use this form if you wish to completely withdraw from the 45 and Up Study. You will no longer be contacted and your health will no longer be followed. This request will apply from the time you notify us because it is not possible to withdraw information already used for research or publication.

    Fields marked with an asterisk (*) are required. The additional information requested will help ensure we update your record correctly.

    You can also contact us by calling 1300 45 11 45 or emailing your request to [email protected]

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