Complete the online YAppEE Registration & Agreement Form to access all the support and benefits of YAppEE

Alternatively, you can download and print this YAppEE Referral & Agreement Form, and submit the completed form to yappee@blackswanhealth.com.au.

Once you have submitted the form, one of the YAppEE team will call you to complete your registration and provide you with a unique log-in code to access the app.

Register here:

    * Required Field

    Full Name*

    Date of Birth*

    Mobile Phone Number*

    Email*

    Which state do you live in?*

    Contact information:

    Phone: (08) 9201 0044
    Fax: (08) 9201 0033
    Email: info@blackswanhealth.com.au

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    We acknowledge the ongoing support of the State Government of WA, which enables us to deliver this program for free to Perth residents living north of the river.
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