Application for NHS Affiliate Membership

Application for NHS Affiliate Membership


We would like to keep you informed of relevant additional services that may be of benefit to you.   Please tick the relevant boxes below to let us know your preferred method of communication.

Your personal data is stored on our membership database and within our secure Network and treated with the highest confidentiality in line with current data protection legislation.   For more information visit

Please use this form to make an application for NHS Trust Affiliate membership for the Trust - one per Trust.

To add Affiliate names please use this form (opens in a new window).