Member Application Form

Membership is free. Once you have joined as a member, you can have as much or as little involvement as you wish. Membership is open…

Membership is free. Once you have joined as a member, you can have as much or as little involvement as you wish. Membership is open to anyone over the age of 16 living within England and Wales.

Please complete the following form. The data will be used only to contact you about the Trust or other health issues, and will be stored in accordance with the Data Protection Act.

If you have any queries, please contact us on 01302 644158 or e-mail dbth.trustboardoffice@nhs.net

Membership application

  • Further information

    These optional questions help us to ensure that our data is representative.

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