Foundation Trust Membership

Apply online to become a Foundation Trust Member

For more information about membership, view our Foundation Trust Membership pages or contact our membership team on 01753 633566 or foundation.trust@hwph-tr.nhs.uk

Your Details

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Name: *

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About You

It would be helpful if you could complete this section, which will enable us to see if our membership is representative of the people who use our service.

Date of birth:

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Ethnic Group:

Would you consider yourself to be disabled?:

Yes

If yes, please specify:

Are you a member of any health related organisation?:

Yes

Please list:

If I become a member, I would like to:

Receive regular information

Attend meetings or events

Consider standing for election to the Council of Governors

Become a volunteer

Research

Are you happy for us to use your details in order to get in touch about research into hospital services and consultations?

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Yes

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