Membership form

If you would like to join us as a member please fill in the form below and one of the team will get back to you.

How would you like us to contact you?
I would like to be a member in the following group
If you are a service user or main carer which of our services do you use?
How much would you like to be involved?
What areas are you particularly interested in?
Your personal details will be stored on our membership database in accordance with the Data Protection Act and will not be shared with any other organisation. 
Foundation Trusts are required to publish and make public a register of members. If you do not wish your name to appear on the public register please tick the box. 

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